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BETHANY ANNE PETROUS LLBSW
NPI 1972171122
Social Worker in Grosse Pointe Park, MI

Active since June 15, 2021PECOS Enrolled
15222 E JEFFERSON AVE, GROSSE POINTE PARK, MI 48230(313) 825-2403 Get Directions Write a Review

NPPES record last updated: June 15, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Bethany Anne Petrous Llbsw NPPES

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

BETHANY ANNE PETROUS LLBSW (NPI 1972171122) is an individual social worker in Grosse Pointe Park, Michigan, licensed in Michigan (6802091198) and active in the NPI registry since June 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1972171122
Entity TypeIndividualFemale
Primary Taxonomy104100000X
Provider Legal NameBETHANY ANNE PETROUSCredential: LLBSW
Location Address15222 E JEFFERSON AVEGrosse Pointe Park, MI 48230-1314
Mailing Address1423 Field StDetroit, MI 48214-2321 · (313) 825-2421
Phone(313) 825-2403
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateJune 15, 2021
NPPES CertifiedJune 15, 2021
✔ NPI 1972171122 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers
Taxonomy Code104100000X
License✔ Licensed in MI · 6802091198
Definition
A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.
15222 E JEFFERSON AVE, Grosse Pointe Park, MI 48230
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Bethany Anne Petrous Llbsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3476023888
PECOS Enrollment IDI20260527002387
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES

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

MS. NICHOLE M DESSINGER-FLYNN LLSW
Social Worker (Clinical)
15222 E JEFFERSON AVE
GROSSE POINTE PARK, MI 48230
Wayne County (313) 265-0441

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 Bethany Petrous's NPI number?

The NPI number for Bethany Petrous is 1972171122. It was assigned to this individual provider in the NPPES registry on June 15, 2021.

Where is Bethany Petrous located?

Bethany Petrous practices at 15222 E Jefferson Ave, Grosse Pointe Park, MI 48230. The listed phone number is (313) 825-2403.

What is Bethany Petrous's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Is Bethany Petrous enrolled in Medicare?

Yes. Bethany Petrous is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Bethany Petrous was last updated on June 15, 2021. 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.