Individual provider · Type 1 NPI

Bertha Alexis Pettaway, LCSW

Clinical Social Worker · Los Angeles, CA

NPI number 1306037528 Active

Practice location

333 S Beaudry Ave
Los Angeles, CA 90017-1466

Call (213) 241-3841 Map

Fax (213) 241-3505

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker 1041C0700X26156 (CA)
Clinical Social Worker Primary 1041C0700X67188 (CA)
Clinical Social Worker 1041C0700XNone listed

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 1306037528

Bertha Alexis Pettaway, LCSW's National Provider Identifier is 1306037528, issued on Aug 5, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Los Angeles, CA. The record was last updated on Sep 9, 2016.