Provider Demographics
NPI:1871713230
Name:PETRASH, PATRICIA EARLY (MSW)
Entity type:Individual
Prefix:MS
First Name:PATRICIA
Middle Name:EARLY
Last Name:PETRASH
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1700 17TH STREET N.W.
Mailing Address - Street 2:SUITE 201
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20009-2453
Mailing Address - Country:US
Mailing Address - Phone:202-328-2283
Mailing Address - Fax:202-328-2189
Practice Address - Street 1:1700 17TH ST NW
Practice Address - Street 2:SUITE 201
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20009-2453
Practice Address - Country:US
Practice Address - Phone:202-328-2283
Practice Address - Fax:202-328-2189
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DC003007101041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical