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MISS MARY LOUISE PETRISKO LCSW
NPI 1922102201
Social Worker - Clinical in Evansville, IN

Active since September 08, 2006
6221 PHYSICIANS CT, SUITE 2, EVANSVILLE, IN 47715(812) 491-7739(812) 491-8095 Get Directions Write a Review

NPPES record last updated: February 8, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Miss Mary Louise Petrisko Lcsw NPPES

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

MISS MARY LOUISE PETRISKO LCSW (NPI 1922102201) is an individual clinical provider in Evansville, Indiana, licensed in Indiana (34003567A) and active in the NPI registry since September 2006.

NPPES Registry Identity

NPI1922102201
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMISS MARY LOUISE PETRISKOCredential: LCSW
Location Address6221 PHYSICIANS CT, SUITE 2Evansville, IN 47715-4031
Mailing Address6221 Physicians Ct, Suite 2Evansville, IN 47715-4031 · (812) 491-7739 · Fax (812) 491-8095
Phone(812) 491-7739
Fax(812) 491-8095
Sole ProprietorYes
Enumeration DateSeptember 8, 2006
Last NPPES UpdateFebruary 8, 2012
✔ NPI 1922102201 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in IN · 34003567A
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
6221 PHYSICIANS CT, Evansville, IN 47715
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Other Identifiers 1

Other000000301641IN · Anthem Bcbs

Other Providers at the Same Location NPPES 12

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

DEACONESS CLINIC, INC
Allergy & Immunology
6221 PHYSICIANS CT, SUITE 1
EVANSVILLE, IN 47715
Vanderburgh County (812) 479-3153
MRS. LISA ELLEN PROVOST MS
Counselor (Mental Health)
6221 PHYSICIANS CT
EVANSVILLE, IN 47715
Vanderburgh County (812) 491-7739
ANDRIA GENEVA PETRY-SIAGE M.A., L.M.H.C.
Counselor (Mental Health)
6221 PHYSICIANS CT
EVANSVILLE, IN 47715
Vanderburgh County (812) 491-7739
DR. ANDREW J REED PH.D.
Psychologist (Clinical)
6221 PHYSICIANS CT
EVANSVILLE, IN 47715
Vanderburgh County (812) 454-5457
GENE SCHADLER, LCSW, LLC
Social Worker (Clinical)
6221 PHYSICIANS CT, SUITE 2
EVANSVILLE, IN 47715
Vanderburgh County (812) 491-7739
AMY K REISING NP
Nurse Practitioner
6221 PHYSICIANS CT, SUITE 1
EVANSVILLE, IN 47715
Vanderburgh County (812) 479-3153
MARY RUTH BRANSTETTER LCSW
Social Worker (Clinical)
6221 PHYSICIANS CT
EVANSVILLE, IN 47715
Vanderburgh County (812) 480-0504
JASON F WHITE MD
Allergy & Immunology
6221 PHYSICIANS CT, SUITE 1
EVANSVILLE, IN 47715
Vanderburgh County (812) 479-3153

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 Mary Petrisko's NPI number?

The NPI number for Mary Petrisko is 1922102201. It was assigned to this individual provider in the NPPES registry on September 8, 2006.

Where is Mary Petrisko located?

Mary Petrisko practices at 6221 Physicians Ct Suite 2, Evansville, IN 47715. The listed phone number is (812) 491-7739.

What is Mary Petrisko's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Mary Petrisko was last updated on February 8, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.