Jon Petruschke, LCSW
NPI 1306021910 · Clinical Social Worker · Portland
Enrolled with Medicare as Practitioner - Clinical Social Worker · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jon Petruschke, LCSW is a Clinical Social Worker provider in Portland (NPI 1306021910).
Provider details
- NPI number
- 1306021910
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- LCSW
- Sex
- Male
- Sole proprietor
- No
- License
- LC8835 (ME)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2008-01-02
- Last updated
- 2017-04-26
Frequently asked questions
- What is Jon Petruschke's NPI number?
- Jon Petruschke's National Provider Identifier (NPI) is 1306021910, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jon Petruschke's specialty?
- Jon Petruschke is listed in the NPPES registry with a primary specialty of Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Jon Petruschke located?
- Jon Petruschke's practice location on file with NPPES is 145 Newbury Street, Portland, 04101.
- What is Jon Petruschke's phone number?
- The practice phone number listed in the NPPES registry for Jon Petruschke is (207) 774-9667.
- Does Jon Petruschke accept Medicare?
- Jon Petruschke is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Jon Petruschke's NPI active?
- Yes — Jon Petruschke's NPI (1306021910) is active in the NPPES registry as of the last update on 2017-04-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.