Ivy Petra, LCSW, LCAC
Ivy Petra, LCSW, LCAC is a Clinical Social Worker in Goshen, Indiana. Qualified in 2009, 17 years ago. Practices with Maple City Health Care Center Inc, a 30-clinician group, works from 4 locations and accepts Medicare assignment. Licensed in Indiana.
- Years since qualifying
- 17
- Licensed in
- IN
- In the registry since
- 2013
- Specialties on file
- 2
What do these letters mean?
- LCSW — Licensed Clinical Social Worker
- A social worker licensed to diagnose and treat mental health conditions independently.
Practice location Address checks out
213 Middlebury StGoshen, IN 46528
Phone: (574) 534-3300
Fax: (574) 534-5412
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (3)
- 2600 Oakland Ave, Elkhart, IN 46517-1533 — (574) 533-1234
- 2600 Oakland Ave, Elkhart, IN 46517-1533 — (574) 533-1234
- 808 N 3rd St, Goshen, IN 46528-7100 — (574) 534-0088
Specialties & licences
| Clinical Social Worker (primary) | Taxonomy 1041C0700X · Licence 34006676A (IN) |
|---|---|
| Addiction (Substance Use Disorder) Counselor | Taxonomy 101YA0400X · Licence 87001243A (IN) |
Record details
| NPI number | 1538592704 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | LCSW , LCAC |
| Sole proprietor | No |
| NPI enumerated | August 12, 2013 |
| Last updated in NPPES | December 31, 2020 |
| Certification date | December 31, 2020 |
Medicare enrollment
| Medicare specialty | CLINICAL SOCIAL WORKER |
|---|---|
| Medical school | OTHER |
| Graduated | 2009 (17 years in practice) |
| Group practice | Maple City Health Care Center Inc — 30 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Other providers in Goshen
-
Lynda Fourman, CADACIV
330 Lakeview Dr, Goshen, IN 46528-9365 · (574) 533-1234
-
Mr. Keith D Jodway, LMHC, LCAC
209 Tanglewood Dr Apt C, Goshen, IN 46526-1718 · (574) 220-0220
-
Maple City Counseling Center
209 Tanglewood Dr Apt C, Goshen, IN 46526-1718 · (574) 220-0220
-
MS. Kryston Jean Noble-Hartzler, LCSW, LCAC
114 S Main St, Goshen, IN 46526-3702 · (574) 533-6154
-
Yvonne Renee Riege, LCAC
114 N Main St, Goshen, IN 46526-3207 · (574) 533-6154
-
Solutions Counseling, LLC
301 W Lincoln Ave, Goshen, IN 46526-3220 · (574) 533-6249
-
Sharese A. Swafford, LMHC, LCAC
330 Lakeview Dr, Goshen, IN 46528-9365 · (574) 533-1234