Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TARA JEAN PETRUNGARO, LCSW
Active Sole ProprietorTARA JEAN PETRUNGARO, LCSW is a Clinical Social Worker healthcare provider located in LAKE RONKONKOMA, New York. NPI 1083134605 is currently active in the NPPES registry. Verify at CMS.
Clinical Social Worker · LAKE RONKONKOMA, NY
Registration Details
- NPI Number
- 1083134605
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 24, 2017 (9.1193821988701 yrs)
- Last Updated
- Sep 6, 2022
- License
-
075742-1 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
181 LORENZO CIRLAKE RONKONKOMA, NY, 117792279Browse NY providers · Browse ZIP 11779
- Phone
- 6317089309
- Primary Specialty
-
Clinical Social Worker
1041C0700X
Other Clinical Social Worker Providers in LAKE RONKONKOMA, NY
| Name | Credential | NPI |
|---|---|---|
| DAWN MARIE WIGUTOW | — | 1871713065 |
| MRS. JOAN MARIE RYAN | LCSW | 1932492766 |
| MS. THERESA BERGOLD | LMSW | 1831613868 |
| FIONA MCBREEN | LMSW | 1669164141 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.