Individual provider · Type 1 NPI

Leatha Mae Lee Pettress, LCSW-A

Clinical Social Worker · Raleigh, NC

NPI number 1710643135 Active

Practice location

6026 Six Forks Rd
Raleigh, NC 27609-3899

Mailing address

5205 Dana Dr Apt H
Raleigh, NC 27606-2347

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 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 1710643135

Leatha Mae Lee Pettress, LCSW-A's National Provider Identifier is 1710643135, issued on Nov 10, 2021. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Raleigh, NC. The record was last updated on Jul 7, 2025.