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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DERRELL RASHAD PETTIWAY, MSW, LCSWA

Active

DERRELL RASHAD PETTIWAY, MSW, LCSWA is a Clinical Social Worker healthcare provider located in DURHAM, North Carolina. NPI 1215388814 is currently active in the NPPES registry. Verify at CMS.

Clinical Social Worker · DURHAM, NC

Registration Details

NPI Number
1215388814
Provider Type
Individual
Gender
Male
NPI Issued
Jun 24, 2016 (10.169537214979 yrs)
Last Updated
Jul 13, 2016
Licenses
P010476 (NC)
1199035 (NC)

Practice Information

Address
2515 E NC HIGHWAY 54 BLDG 2200
DURHAM, NC, 277135251
Browse NC providers · Browse ZIP 27713
Phone
9194930959
Primary Specialty
Clinical Social Worker
1041C0700X
Additional Specialty
School Social Worker

Other Clinical Social Worker Providers in DURHAM, NC

Name Credential NPI
PETER STERRETT LCSW 1033111398
JOHN THOMAS WITCHGER LMHP LADC 1235121385
MS. VIRGINIA BRISTOL MSW 1437132446
MILDRED HARRIS 1023091832
SANDRA JEAN PREISSLER LCSW 1861463408
MS. MARY CATHRYN COLE LCSW 1164481347
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.