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Export Provider Record NPI 1033450119
Richard Ross PettyLCSW - R
Active
NPI Number1033450119
NPI TypeNPI-1 Individual
SpecialtySocial Worker, Clinical
Provider Details
NPI1033450119
NPI TypeNPI-1 Individual
StatusActive
Enumeration Date2013-03-14
Last Updated2021-03-03
Mailing Address1081 Northside Shopping Ctr, Gorman Foundation Office Suite
Oneida, NY 13421-4901
United States
Phone: (315) 363-5274 | Fax: (315) 363-4925
📍 View Map
Primary Practice Address1081 Northside Shopping Ctr, Gorman Foundation Office Suite
Oneida, NY 13421-4901
United States
Phone: (315) 363-5274 | Fax: (315) 363-4925
📍 View Map
Taxonomy / Specialty
PrimaryTaxonomy Code & DescriptionStateLicense Number
Yes1041C0700X – Social Worker, ClinicalNY075916
Export Provider Record NPI 1033450119
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About NPI 1033450119

Richard Ross Petty LCSW - R is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1033450119. The primary specialty listed is Social Worker, Clinical. The provider is located in Oneida, NY. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2013-03-14. All data is sourced directly from the official CMS NPPES public API and is updated daily.

Frequently Asked Questions

What is NPI 1033450119?

NPI 1033450119 belongs to Richard Ross Petty LCSW - R, a Social Worker, Clinical in Oneida, NY. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.

Is NPI 1033450119 active?

The current status of NPI 1033450119 in the NPPES registry is Active. The record was last updated on 2021-03-03.

What specialty is NPI 1033450119?

NPI 1033450119 is classified under the taxonomy Social Worker, Clinical. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.

How do I verify NPI 1033450119?

You can verify NPI 1033450119 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.

What address is on file for NPI 1033450119?

The primary practice address on file for NPI 1033450119 is 1081 Northside Shopping Ctr, Oneida, NY 13421-4901. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.

When was NPI 1033450119 issued?

NPI 1033450119 was first issued (enumerated) on 2013-03-14. The NPPES record was last updated on 2021-03-03.

Practice Location Map

Richard Ross Petty is located at 1081 Northside Shopping Ctr, Oneida, NY. Use the map below to find directions or verify the practice location.

📍 1081 Northside Shopping Ctr, Oneida, NY 13421-4901  ·  Open in Google Maps ↗

Related Healthcare Providers

The following providers share the same practice location, specialty, or state as Richard Ross Petty. All records sourced from the CMS NPPES registry.

License Information

The following state license numbers are on file in the NPPES registry for NPI 1033450119. For license status verification, contact the relevant state licensing board directly.

Specialty / TaxonomyLicense NumberState
Social Worker, Clinical075916NY
Data Verified from CMS NPPES Last synced: 2026-07-26 · Source: npiregistry.cms.hhs.gov · 45 CFR Part 162