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

Ursula Ann Petrik, LCSW

Individual provider Clinical Social Worker · NPI 1912606187

Ursula Ann Petrik, LCSW is a Clinical Social Worker in Port Jervis, New York. Licensed in New York. Registered with an NPI since 2023.

Licensed in
NY
In the registry since
2023
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

See every abbreviation used in this directory →

Practice location Address checks out

146 Pike St
Port Jervis, NY 12771-1808
Phone: (845) 858-1456
Fax: (845) 378-3283
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 087670-01 (NY)

Record details

NPI number1912606187
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedFebruary 27, 2023
Last updated in NPPESFebruary 27, 2023
Certification dateFebruary 27, 2023

Other providers in Port Jervis