National Provider Identifier
Charles Joseph Petko Jr., LMSW
Charles Joseph Petko Jr., LMSW is listed in the NPPES registry with a primary specialty of Social Worker in Buffalo, NY and a listed phone number of (716) 935-9783.
Profile Overview
- NPI
- 1205622669
- Provider Type
- Individual
- Primary Specialty
- Social Worker
- Enumeration Date
- April 15, 2025
- Last Updated
- April 15, 2025
Practice Location
- 211 Covington Dr
- Buffalo, NY 14220-2811
Phone: (716) 935-9783
Specialties
- Social Worker (104100000X)
Full Record
- NPI
- 1205622669
- Entity Type
- Individual
- Last Name
- Petko
- First Name
- Charles
- Middle Name
- Joseph
- Name Prefix
- Mr.
- Name Suffix
- Jr.
- Credential
- LMSW
- Mailing Street Address
- 211 Covington Dr
- Mailing City
- Buffalo
- Mailing State
- NY
- Mailing ZIP Code
- 14220-2811
- Mailing Country
- US
- Mailing Phone
- (716) 935-9783
- Practice Street Address
- 211 Covington Dr
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14220-2811
- Practice Country
- US
- Practice Phone
- (716) 935-9783
- Enumeration Date
- April 15, 2025
- Last Updated
- April 15, 2025
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- April 15, 2025
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Social Worker (104100000X)