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

MS. Amy Jacquelin Petrulis, MS, LCSW

Individual provider Clinical Social Worker · NPI 1194096016

MS. Amy Jacquelin Petrulis, MS, LCSW is a Clinical Social Worker in Livingston, Montana. Qualified in 2009, 17 years ago. Accepts Medicare assignment and offers telehealth. Licensed in Montana.

Years since qualifying
17
Licensed in
MT
In the registry since
2012
What do these letters mean?
MS — Master of Science
A graduate science degree.
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

108 1/2 W Callender St Apt 4
Livingston, MT 59047-2647
Phone: (406) 223-2092
Fax: (406) 823-6305
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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 1060 (MT)

Record details

NPI number1194096016
Entity typeIndividual (Type 1)
GenderFemale
Credentials MS , LCSW
Sole proprietorNo
NPI enumeratedJanuary 24, 2012
Last updated in NPPESOctober 15, 2019

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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