Individual
BRANDI LEIGH PETRELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
7266 BUCKLEY RD, NORTH SYRACUSE, NY 13212-2649
(315) 458-0919
(315) 458-0954
Mailing address
3485 PAUL AVE, WARNERS, NY 13164-9753
(315) 225-6756
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
115631-01
NY
1041C0700X
Clinical Social Worker
Primary
102030-01
NY
Other
Enumeration date
07/03/2024
Last updated
02/25/2026
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