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

MS. Petrovnia Fernande McIntosh, LCSW

Individual provider Clinical Social Worker · NPI 1366869612

MS. Petrovnia Fernande McIntosh, LCSW is a Clinical Social Worker in Madison, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2014.

Licensed in
WI
In the registry since
2014
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

6502 Grand Teton Plz Ste 102
Madison, WI 53719-1047
Phone: (608) 827-7220
Fax: (608) 827-7223
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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 8317-123 (WI)

Record details

NPI number1366869612
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedMarch 25, 2014
Last updated in NPPESMarch 25, 2014

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