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

Jodell Rae Petit, APSW, CSAC, ICS

Individual provider Clinical Social Worker · NPI 1386881522

Jodell Rae Petit, APSW, CSAC, ICS is a Clinical Social Worker in Hayward, Wisconsin. Practices as a sole proprietor. Licensed in Wisconsin.

Licensed in
WI
In the registry since
2009

Practice location Address checks out

10592 Main St
Hayward, WI 54843-6658
Phone: (715) 934-1381
Fax: (715) 934-2091
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 8459-123 (WI)

Record details

NPI number1386881522
Entity typeIndividual (Type 1)
GenderFemale
Credentials APSW , CSAC , ICS
Sole proprietorYes
NPI enumeratedJanuary 9, 2009
Last updated in NPPESJuly 21, 2026
Certification dateJuly 21, 2026

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