Ivy Petra, LCSW, LCAC
Clinical Social Worker · Goshen, IN
Ivy Petra, LCSW, LCAC is a clinical social worker with a practice address in Goshen, Indiana, and NPI 1538592704, issued on Aug 12, 2013. Check the license (Indiana 34006676A, as entered in NPPES) with the Indiana board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Ivy Petra
- Credential
- LCSW, LCAC
- Primary taxonomy
- Clinical Social Worker 1041C0700X
- License numbers
- 34006676A IN
87001243A IN
Self-reported in NPPES; status is on the state search - Practice location
- 213 Middlebury St, Goshen, IN 46528
- Phone
- (574) 534-3300
- Enumerated
- Aug 12, 2013
- Record last updated
- Dec 31, 2020 (not updated in 6 years: call before relying on the address or phone)
- Fax
- (574) 534-5412
- Medicare enrollment
- Enrolled (PECOS I20131023001331); accepts Medicare assignment
- Entity
- Type 1 · individual
8 nearest clinical social worker records → All 5,650 in Indiana → Look up another NPI →
Also registered at 213 Middlebury St
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Elisabeth Barahona, LSWClinical Social Worker1699119586
- Elizabeth Black, MSW, LSWSocial Worker1356235618
- Kenneth Craig, MSWClinical Social Worker1366988537
- Kaitlyn Delgado, FNP-BCFamily Nurse Practitioner1013786227
- Susan Derrickson, NP-BCNurse Practitioner1104691153
- Kaylan Dupre, PHARMDPharmacist1205483393
Verify Ivy Petra in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Indiana board licenses this profession
Search for license 34006676ACheck the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Bills Medicare through one group practice
- Maple City Health Care Center IncGoshen, IN
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Ivy Petra among 5,650 clinical social worker records in Indiana
Ivy Petra, LCSW, LCAC is one of 5,650 clinical social worker records with a practice address in Indiana. 19% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2013, is newer than 45% of them.
- NPI issued2013 · 45% of these records are older, 52% newer
- In a Medicare fileYes · 19% of these records are
- In the CMS Doctors and Clinicians fileYes · 25% of these records are
- Graduated2009 · median 2012 among the 1,393 with a school on file
- Record last updated2020 · 54% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 1041C0700X and a Indiana practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
54 clinical social worker records list a practice address in Goshen
They are 54 of the 869 NPPES records with a practice address in Goshen, and 5,650 clinical social worker records in Indiana.
All 5,650 in Indiana → Every provider in Goshen → Clinical Social Worker nationwide →
The 8 clinical social worker records with the nearest ZIP codes
- John Birkey, L.C.S.W.Goshen, IN 465281649388083
- Jean Brunk, LCSWGoshen, IN 465281710130810
- Robin Ebright Zehr, LCSWGoshen, IN 465281225178155
- Susanne Graham, LCSW, MSWGoshen, IN 465281669642229
- Cynthia Grate, LCSWGoshen, IN 465281902842149
- Matthew Milanese, LCSWGoshen, IN 465281336189828
- Jean Miller, LCSW, LMFTGoshen, IN 465281477589208
- Carrie Miller, LCSWGoshen, IN 465281699815522
Common questions
What is Ivy Petra, LCSW, LCAC's NPI number?
Ivy Petra, LCSW, LCAC's National Provider Identifier (NPI) is 1538592704, issued on Aug 12, 2013. An NPI identifies a provider in billing; it is not a license.
Where is Ivy Petra, LCSW, LCAC located?
The NPPES record lists a practice address at 213 Middlebury St, Goshen, IN, 46528. Phone: (574) 534-3300. Providers update this record themselves, so call before visiting.
How can I verify Ivy Petra, LCSW, LCAC's license?
NPPES lists Indiana license number 34006676A, as entered by the provider. Search the Indiana board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.