Individual provider · Type 1 NPI
Azalia Pettway, LCSWC
Clinical Social Worker · Eldersburg, MD
Practice location
1901 Lennox Dr
Eldersburg, MD 21784-6699
Mailing address
6618 Glenville Dr
Whitsett, NC 27377-9141
Other practice locations
- 6618 Glenville Dr, Whitsett, NC 27377-9141 · (443) 403-9597
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker | 1041C0700X | C014221 (NC) |
| Clinical Social Worker Primary | 1041C0700X | 20296 (MD) |
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 1669149506
Azalia Pettway, LCSWC's National Provider Identifier is 1669149506, issued on Aug 27, 2021. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Eldersburg, MD. The record was last updated on Dec 14, 2021.