Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Emily Marie Petrus, LCSW-R

Individual provider Social Worker · NPI 1700217759

Mrs. Emily Marie Petrus, LCSW-R is a Social Worker in Gouverneur, New York. Licensed in New York. Registered with an NPI since 2013.

Licensed in
NY
In the registry since
2013
Specialties on file
2
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Practice location Address checks out

28 William St
Gouverneur, NY 13642-1405
Phone: (315) 287-2811
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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 085870-1 (NY)
Social Worker Taxonomy 104100000X · Licence 089822 (NY)

Record details

NPI number1700217759
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW-R
Sole proprietorNo
NPI enumeratedDecember 2, 2013
Last updated in NPPESNovember 9, 2022
Certification dateNovember 9, 2022

Other providers in Gouverneur