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

Jonathan Russell Petykowski

Individual provider Clinical Social Worker · NPI 1730970443

Jonathan Russell Petykowski is a Clinical Social Worker in Louisville, Colorado. Practices as a sole proprietor. Licensed in Colorado.

Licensed in
CO
In the registry since
2025

Practice location Address checks out

700 Frnt ST Ste 108
Louisville, CO 80027-1805
Phone: (720) 310-0530
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 CSW.09931787 (CO)

Record details

NPI number1730970443
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMay 13, 2025
Last updated in NPPESMay 13, 2025
Certification dateMay 13, 2025
Mailing address700 Front St Ste 108, Louisville, CO 80027-1805

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