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

MS. Jaclyn Petrov, LCSW

Individual provider Clinical Social Worker · NPI 1578878799

MS. Jaclyn Petrov, LCSW is a Clinical Social Worker in Bronx, New York. Licensed in New York. Registered with an NPI since 2010.

Licensed in
NY
In the registry since
2010
What do these letters mean?
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

3671 Hudson Manor Ter Apt 18A
Bronx, NY 10463-1137
Phone: (561) 389-5898
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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 080748-1 (NY)

Record details

NPI number1578878799
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedAugust 12, 2010
Last updated in NPPESNovember 14, 2013

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