Raynette Pearl Petrie, LCSW
NPI 1447313028ActiveIndividual· Social Worker· Lewiston, ID
Social Worker (LCSW) in Lewiston, Idaho, licensed in ID and WA, with an NPI issued in December 2006. Enrolled in Medicare as practitioner - clinical social worker.
Overview
| NPI | 1447313028 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LCSW |
| Sole proprietor | No |
| NPI issued | Dec 18, 2006 |
| Last updated in NPPES | Apr 24, 2025 |
| Certified by provider | Apr 24, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker Primary | 104100000X | 25024 | ID |
| Social Worker | 104100000X | 61600816 | WA |
| Social Worker, Clinical | 1041C0700X | LCSW-25024 | ID |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Social Worker (ID) |
|---|
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