1. Home
  2. Directory
  3. Washington
  4. Port Angeles
  5. Social Worker
  6. NPI Profile

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: August 16, 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
Phone(360) 457-0431
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
Open in Google Maps ↗

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.

DEBORAH FREDSON BA
Counselor (Mental Health)
118 E 8TH ST
PORT ANGELES, WA 98362
Clallam County (360) 457-0431
NICOLE LYNN MOREIRA MA, AAC
Counselor (Mental Health)
118 E 8TH ST
PORT ANGELES, WA 98362
Clallam County (360) 457-0431
AIDAN CLYDE RYGAARD
Social Worker
118 E 8TH ST
PORT ANGELES, WA 98362
Clallam County (360) 457-0431
SHARRA MICHELLE REYNOLDS
Case Manager/Care Coordinator
118 E 8TH ST
PORT ANGELES, WA 98362
Clallam County (360) 457-0431
LAURA LEE ELIASON LMHCA
Counselor (Mental Health)
118 E 8TH ST
PORT ANGELES, WA 98362
Clallam County (360) 457-0431
JACOB DANIEL SHAPIRO MA-C
Technician
118 E 8TH ST
PORT ANGELES, WA 98362
Clallam County (136) 045-7043
MELISSA WESTON
Social Worker
118 E 8TH ST
PORT ANGELES, WA 98362
Clallam County (360) 457-0431
KATHLEEN MARIE HOWARD
Case Manager/Care Coordinator
118 E 8TH ST
PORT ANGELES, WA 98362
Clallam County (360) 457-0431

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 Miranda Petruska's NPI number?

The NPI number for Miranda Petruska is 1922375716. It was assigned to this individual provider in the NPPES registry on November 21, 2011.

Where is Miranda Petruska located?

Miranda Petruska practices at 118 E 8th St, Port Angeles, WA 98362. The listed phone number is (360) 457-0431.

What is Miranda Petruska'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 Miranda Petruska was last updated on May 1, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.