Individual provider · Type 1 NPI

Samantha N. Pettaway

Clinical Social Worker · Bayou La Batre, AL

NPI number 1629444583 Active

Practice location

13833 Tapia Ave
Bayou La Batre, AL 36509-2515

Call (251) 450-2211 Map

Mailing address

5750A Southland Dr
Mobile, AL 36693-3316

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X3812C (AL)

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 1629444583

Samantha N. Pettaway's National Provider Identifier is 1629444583, issued on Aug 14, 2015. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Bayou La Batre, AL. The record was last updated on Jun 4, 2020.