IndividualActive
Kelly Petravicz, M.ED.
NPI 1710294483 · Clinical Social Worker · Lawrence, MA
Kelly Petravicz, M.ED. is a Clinical Social Worker provider in Lawrence, MA (NPI 1710294483).
Provider details
- NPI number
- 1710294483
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- M.ED.
- Sex
- Female
- Sole proprietor
- No
- License
- LICSW1141675 (MA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(83/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 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
370 Merrimack St Ste 120
Lawrence, MA 01843-1789
Phone: (978) 620-0290
Street-level locationGet directions
Mailing address
370 Merrimack St Bldg 5
Lawrence, MA 01843-1788
Registry dates
- Enumerated
- 2010-09-01
- Last updated
- 2026-04-10
- Certified
- 2026-04-10
Frequently asked questions
- What is Kelly Petravicz's NPI number?
- Kelly Petravicz's National Provider Identifier (NPI) is 1710294483, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kelly Petravicz's specialty?
- Kelly Petravicz is listed in the NPPES registry with a primary specialty of Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Kelly Petravicz located?
- Kelly Petravicz's practice location on file with NPPES is 370 Merrimack St Ste 120, Lawrence, MA 01843-1789.
- What is Kelly Petravicz's phone number?
- The practice phone number listed in the NPPES registry for Kelly Petravicz is (978) 620-0290.
- Is Kelly Petravicz's NPI active?
- Yes — Kelly Petravicz's NPI (1710294483) is active in the NPPES registry as of the last update on 2026-04-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.