Jodell Rae Petit, APSW, CSAC, ICS - Clinical Social Worker in Hayward, WI

Jodell Rae Petit, APSW, CSAC, ICS is a Social Worker - Clinical based in Hayward, Wisconsin. Jodell Rae Petit is licensed to practice in Wisconsin (license number 128733-121) and her current practice location is 13380 W Trepania Rd, Hayward, Wisconsin. She can be reached at her office (for appointments etc.) via phone at (715) 638-5102.

NPI number for Jodell Rae Petit is 1386881522 and her current mailing address is 13380 W Trepania Rd, Hayward, Wisconsin. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1386881522.

Contact Information

Jodell Rae Petit, APSW, CSAC, ICS
13380 W Trepania Rd,
Hayward, WI 54843-2186
(715) 638-5102
(715) 634-6107



Healthcare Provider's Profile

Full NameJodell Rae Petit
GenderFemale
SpecialitySocial Worker - Clinical
Location13380 W Trepania Rd, Hayward, Wisconsin
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1386881522
  • Provider Enumeration Date: 01/09/2009
  • Last Update Date: 06/18/2014

Medical Identifiers

Medical identifiers for Jodell Rae Petit such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1386881522NPI-NPPES
1386881522MedicaidWI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1041C0700XSocial Worker - Clinical 128733-121 (Wisconsin)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jodell Rae Petit is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Jodell Rae Petit, APSW, CSAC, ICS
13380 W Trepania Rd,
Hayward, WI 54843-2186

Ph: (715) 638-5102
Jodell Rae Petit, APSW, CSAC, ICS
13380 W Trepania Rd,
Hayward, WI 54843-2186

Ph: (715) 638-5102

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› Verified 6 days ago


Social Worker in Hayward, WI

Julie Glynn,
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 10752 Beal Ave, Hayward, WI 54843
Phone: 715-634-0222    Fax: 715-634-1722
Holly Gray Schuck, LICSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 13380 W Trepania Rd, Hayward, WI 54843
Phone: 715-638-5100    Fax: 715-634-6107
James Brian Newman, MS, LCSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 10045 N State Road 27, Hayward, WI 54843
Phone: 715-634-0222    Fax: 715-634-1722
Constance M Newman, MS, LCSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 15655 W County Road B, Hayward, WI 54843
Phone: 715-634-0607    Fax: 715-634-0617
Savannah Christine Rigert, MSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 10752 Beal Ave, Hayward, WI 54843
Phone: 715-634-0222    
Caitlan Myren, MSW, LCSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 10752 Beal Ave, Hayward, WI 54843
Phone: 715-634-0222    

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