MIRANDA PETRUSKA
NPI 1922375716
Social Worker - Clinical in Port Angeles, WA

Active since November 21, 2011
118 E 8TH ST, PORT ANGELES, WA 98362(360) 457-0431(360) 457-0493 Get Directions Write a Review

NPPES record last updated: May 1, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: May 1, 2024, Apr 1, 2024 (2 updates tracked since 2024).

About Miranda Petruska NPPES

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

MIRANDA PETRUSKA (NPI 1922375716) is an individual clinical provider in Port Angeles, Washington and active in the NPI registry since November 2011.

NPPES Registry Identity

NPI1922375716
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMIRANDA PETRUSKA
Location Address118 E 8TH STPort Angeles, WA 98362-6129
Mailing Address118 E 8th StPort Angeles, WA 98362-6129 · (360) 457-0431 · Fax (360) 457-0493
Fax(360) 457-0493
Sole ProprietorNo
Enumeration DateNovember 21, 2011
Last NPPES UpdateMay 1, 20242 updates tracked since enumeration
NPPES CertifiedMay 1, 2024
NPI 1922375716 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
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.

Also ListedCommunity Health WorkerTaxonomy 172V00000X
118 E 8TH ST, Port Angeles, WA 98362

Other Identifiers 1

MedicaidMDH0157AK

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.

Psychiatry & Neurology (Psychiatry)
118 E 8TH ST
PORT ANGELES, WA 98362
Nurse Practitioner (Psychiatric/Mental Health)
118 E 8TH ST
PORT ANGELES, WA 98362
Nurse Practitioner (Psychiatric/Mental Health)
118 E 8TH ST
PORT ANGELES, WA 98362
Counselor (Mental Health)
118 E 8TH ST
PORT ANGELES, WA 98362
Counselor (Mental Health)
118 E 8TH ST
PORT ANGELES, WA 98362
Counselor (Mental Health)
118 E 8TH ST
PORT ANGELES, WA 98362
Counselor (Mental Health)
118 E 8TH ST
PORT ANGELES, WA 98362
Counselor (Mental Health)
118 E 8TH ST
PORT ANGELES, WA 98362

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1922375716, enumerated as an "individual" on November 21, 2011.

The provider is located at 118 E 8TH ST PORT ANGELES, WA 98362 and the phone number is (360) 457-0431.

Social Worker with taxonomy code 1041C0700X and a focus in Clinical.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.