Individual provider · Type 1 NPI

Shaquana Annette Pettus

Clinical Social Worker · Elizabeth City, NC

NPI number 1083421267 Active

Practice location

110 Medical Dr
Elizabeth City, NC 27909-3316

Call (252) 384-0388 Map

Mailing address

115 Mackey Dr
Elizabeth City, NC 27909-5550

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XP021058 (NC)

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1083421267

Shaquana Annette Pettus's National Provider Identifier is 1083421267, issued on Dec 12, 2024. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Elizabeth City, NC. The record was last updated on Dec 16, 2024.