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

Individual provider Clinical Social Worker · NPI 1316369937

Mr. Justin David Petrusak, LMSW is a Clinical Social Worker in Detroit, Michigan. Licensed in Michigan. Registered with an NPI since 2014.

Licensed in
MI
In the registry since
2014
What do these letters mean?
LMSW — Licensed Master Social Worker
A master's-level social worker, usually practising under supervision.

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Practice location Address checks out

4756 Cass Ave
Detroit, MI 48201-2357
Phone: (313) 577-4409
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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 6801090356 (MI)

Record details

NPI number1316369937
Entity typeIndividual (Type 1)
GenderMale
Credentials LMSW
Sole proprietorNo
NPI enumeratedJanuary 16, 2014
Last updated in NPPESMarch 8, 2016

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