Andrea Petraitis
Social Worker, Clinical in Dover, NH. Individual provider (NPI-1).
NPI number1104710359
StatusActive
Last updated in NPPESMar 17, 2026
Details
- NPI
- 1104710359
- Entity type
- Individual (NPI-1)
- Name
- Andrea Petraitis
- Sole proprietor
- No
- Enumeration date
- Jun 4, 2025
- Certification date
- Mar 17, 2026
- Last updated
- Mar 17, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 5531 | NH | Yes |
Practice location
2 Washington St Ste 210Dover, NH 03820-3889
Phone 603-605-1804
Mailing address
2 Washington St Ste 210Dover, NH 03820-3889
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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