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

Individual provider Clinical Social Worker · NPI 1124250451

Petra Stone, LCSW-R is a Clinical Social Worker in East Syracuse, New York. Qualified in 1995, 31 years ago. Practices as a sole proprietor, accepts Medicare assignment and offers telehealth. Licensed in New York.

Years since qualifying
31
Licensed in
NY
In the registry since
2009
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Practice location Address checks out

212 E Ave
East Syracuse, NY 13057-2106
Phone: (607) 765-1991
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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 R051594-1 (NY)

Record details

NPI number1124250451
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW-R
Sole proprietorYes
NPI enumeratedAugust 20, 2009
Last updated in NPPESFebruary 5, 2018

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 1995 (31 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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