Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Edward Petrarca, LCSW

Individual provider Clinical Social Worker · NPI 1003986787

Edward Petrarca, LCSW is a Clinical Social Worker in Montclair, New Jersey. Qualified in 1987, 39 years ago. Practices with Montclair Hospital LLC, a 21-clinician group and accepts Medicare assignment. Licensed in New Jersey.

Years since qualifying
39
Licensed in
NJ
In the registry since
2006
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

1 Bay Ave Mountainside Hospital
Montclair, NJ 07042-4837
Phone: (973) 429-6813
Fax: (973) 680-7715
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 44SC00016500 (NJ)

Record details

NPI number1003986787
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorNo
NPI enumeratedNovember 9, 2006
Last updated in NPPESJuly 10, 2007

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 1987 (39 years in practice)
Group practice Montclair Hospital Llc — 21 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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