Provider Profile
Ivy Petra, LCSW, LCAC is a clinical social worker based in Goshen, IN. Ivy is also listed as specializing in addiction & substance abuse counselor. The provider's National Provider Identifier (NPI) is 1538592704.
Factual summary compiled by Guide.md from public records; not written by this provider.
Exactly as CMS reports it (National Downloadable File, Opt-Out Affidavits, Order & Referring). Not an insurance directory; confirm coverage with the office.
213 MIDDLEBURY ST
Goshen, IN 46528
2600 Oakland Ave
Elkhart, IN 46517
808 N 3rd St
Goshen, IN 46528
Ivy Petra, LCSW is a clinical social worker in Goshen, IN. That is the designation recorded for this NPI in the federal registry.
NPI registry
Ivy Petra, LCSW is listed at 213 Middlebury St, Goshen, IN 46528. Addresses come from the NPI registry and can lag a move, so confirm before travelling.
NPI registry
The number on file is (574) 534-3300. Contact the office directly to confirm availability and scheduling.
NPI registry
Ivy Petra, LCSW's National Provider Identifier is 1538592704. It is issued by the Centers for Medicare & Medicaid Services and is unique and permanent — it does not change if they move practice.
NPI registry
Ivy Petra, LCSW attended Other, graduating in 2009. This comes from the CMS National Downloadable File.
CMS public data
Ivy Petra, LCSW has 17 years experience. Calculated from a graduation year of 2009, reported in the CMS National Downloadable File.
CMS public data
Not yet. This profile is built from public federal data and has not been confirmed by Ivy Petra, LCSW. If this is you, claiming it is free.
Guide.md
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