Individual provider · Type 1 NPI

Andrew Maxwell Pettyjohn, LCSW

Clinical Social Worker · Louisville, KY

NPI number 1255240727 Active

Practice location

204 E Market St
Louisville, KY 40202-1218

Call (502) 588-4340 Map

Mailing address

10404 Southern Meadows Dr Apt 102
Louisville, KY 40241-1274

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XLCSW00001672 (KY)

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 1255240727

Andrew Maxwell Pettyjohn, LCSW's National Provider Identifier is 1255240727, issued on Sep 2, 2026. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Louisville, KY. The record was last updated on Sep 2, 2026.