Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jacqueline Michelle Petraglia, LISW

Individual provider Clinical Social Worker · NPI 1629513031

Jacqueline Michelle Petraglia, LISW is a Clinical Social Worker in Cleveland, Ohio. Licensed in Ohio. Registered with an NPI since 2016.

Licensed in
OH
In the registry since
2016
What do these letters mean?
LISW — Licensed Independent Social Worker
A social worker licensed to practise independently.

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Practice location Address checks out

10427 Detroit Ave
Cleveland, OH 44102-1645
Phone: (216) 521-6511
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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 I.1600808 (OH)

Record details

NPI number1629513031
Entity typeIndividual (Type 1)
GenderFemale
Credentials LISW
Sole proprietorNo
NPI enumeratedDecember 21, 2016
Last updated in NPPESDecember 21, 2016

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