ELLYN PETRINO BSW
NPI 1871108621
Student in an Organized Health Care Education/Training Program in Kalamazoo, MI

Active since September 09, 2020
610 S BURDICK ST, KALAMAZOO, MI 49007(269) 381-3700(269) 381-3810 Get Directions Write a Review

NPPES record last updated: September 9, 2020. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Ellyn Petrino Bsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ELLYN PETRINO BSW (NPI 1871108621) is an individual student in an organized health care education/training program in Kalamazoo, Michigan and active in the NPI registry since September 2020.

NPPES Registry Identity

NPI1871108621
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameELLYN PETRINOCredential: BSW
Location Address610 S BURDICK STKalamazoo, MI 49007-5221
Mailing Address610 S Burdick StKalamazoo, MI 49007-5221 · (269) 381-3700 · Fax (269) 381-3810
Fax(269) 381-3810
Sole ProprietorNo
Enumeration DateSeptember 9, 2020
NPPES CertifiedSeptember 9, 2020
NPI 1871108621 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
610 S BURDICK ST, Kalamazoo, MI 49007

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Peer Specialist
610 S BURDICK ST
KALAMAZOO, MI 49007
Peer Specialist
610 S BURDICK ST
KALAMAZOO, MI 49007
Registered Nurse (Psychiatric/Mental Health, Adult)
610 S BURDICK ST
KALAMAZOO, MI 49007
Social Worker (Clinical)
610 S BURDICK ST
KALAMAZOO, MI 49007
Social Worker
610 S BURDICK ST
KALAMAZOO, MI 49007
Peer Specialist
610 S BURDICK ST
KALAMAZOO, MI 49007
Social Worker (Clinical)
610 S BURDICK ST
KALAMAZOO, MI 49007
Student in an Organized Health Care Education/Training Program
610 S BURDICK ST
KALAMAZOO, MI 49007

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ellyn Petrino's NPI number?

The NPI number for Ellyn Petrino is 1871108621. It was assigned to this individual provider in the NPPES registry on September 9, 2020.

Where is Ellyn Petrino located?

Ellyn Petrino practices at 610 S Burdick St, Kalamazoo, MI 49007. The listed phone number is (269) 381-3700.

What is Ellyn Petrino's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Ellyn Petrino was last updated on September 9, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.