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IVY PETRA, LCSW, LCAC

LCSW, LCAC

Clinical Social Worker

NPI: 1538592704IndividualAccepts Medicare

Specialties, Licenses & Credentials

Addiction (Substance Use Disorder) Counselor

Counselor — Addiction (Substance Use Disorder)

Code: 101YA0400X

87001243A(IN)
Clinical Social WorkerPrimary

Social Worker — Clinical

Code: 1041C0700X

34006676A(IN)

CMS Specialties

PrimaryCLINICAL SOCIAL WORKER

Education

OTHER

Class of 2009

Contact & Hours

Via practice · 3 locations total

Address
2600 OAKLAND AVE
ELKHART, IN 46517

Locations (3)

Practice Location

2600 OAKLAND AVE, ELKHART, IN
(574) 533-1234

Practice Location

213 MIDDLEBURY ST, GOSHEN, IN
(574) 534-3300

Practice Location

808 N 3RD ST, GOSHEN, IN
(574) 534-0088

Quick Facts

NPI
1538592704
Entity Type
Individual
Gender
Female
Medicare
Accepted
Specialties
2
Locations
3
Years in Practice
17

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