IndividualActive
Petrovnia Mcintosh, LCSW
NPI 1366869612 · Clinical Social Worker · Madison, WI
Petrovnia Mcintosh, LCSW is a Clinical Social Worker provider in Madison, WI (NPI 1366869612).
Provider details
- NPI number
- 1366869612
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- No
- License
- 8317-123 (WI)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(76/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
100% 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
6502 Grand Teton Plz
Suite 102
Madison, WI 53719-1047
Phone: (608) 827-7220
Fax: (608) 827-7223
Street-level locationGet directions
Mailing address
6502 Grand Teton Plz
Madison, WI 53719-1047
Registry dates
- Enumerated
- 2014-03-25
- Last updated
- 2014-03-25
Frequently asked questions
- What is Petrovnia Mcintosh's NPI number?
- Petrovnia Mcintosh's National Provider Identifier (NPI) is 1366869612, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Petrovnia Mcintosh's specialty?
- Petrovnia Mcintosh is listed in the NPPES registry with a primary specialty of Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Petrovnia Mcintosh located?
- Petrovnia Mcintosh's practice location on file with NPPES is 6502 Grand Teton Plz, Madison, WI 53719-1047.
- What is Petrovnia Mcintosh's phone number?
- The practice phone number listed in the NPPES registry for Petrovnia Mcintosh is (608) 827-7220.
- Is Petrovnia Mcintosh's NPI active?
- Yes — Petrovnia Mcintosh's NPI (1366869612) is active in the NPPES registry as of the last update on 2014-03-25.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.