Jon Petruschke LLC
NPI 1528593985 · Clinical Social Worker · Portland, ME
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jon Petruschke LLC is a Clinical Social Worker organization in Portland, ME (NPI 1528593985).
Provider details
- NPI number
- 1528593985
- Entity type
- Organization
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Jon Petruschke, Social Worker(207) 774-9667
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
9 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
Mailing address
Registry dates
- Enumerated
- 2017-04-24
- Last updated
- 2017-04-24
Frequently asked questions
- What is Jon Petruschke LLC's NPI number?
- Jon Petruschke LLC's National Provider Identifier (NPI) is 1528593985, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Jon Petruschke LLC?
- Jon Petruschke LLC is classified in the NPPES registry as Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Jon Petruschke LLC located?
- Jon Petruschke LLC's practice location on file with NPPES is 145 Newbury St, Portland, ME 04101-4261.
- What is Jon Petruschke LLC's phone number?
- The practice phone number listed in the NPPES registry for Jon Petruschke LLC is (207) 774-9667.
- Does Jon Petruschke LLC accept Medicare?
- Jon Petruschke LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Jon Petruschke LLC?
- The authorized official listed on Jon Petruschke LLC's NPPES record is Jon Petruschke, Social Worker. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Jon Petruschke LLC's NPI active?
- Yes — Jon Petruschke LLC's NPI (1528593985) is active in the NPPES registry as of the last update on 2017-04-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.