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

SAMANTHA N PETTAWAY

Active

SAMANTHA N PETTAWAY is a Clinical Social Worker healthcare provider located in BAYOU LA BATRE, Alabama. NPI 1629444583 is currently active in the NPPES registry. Verify at CMS.

Clinical Social Worker · BAYOU LA BATRE, AL

Registration Details

NPI Number
1629444583
Provider Type
Individual
Gender
Female
NPI Issued
Aug 14, 2015 (10.815549388363 yrs)
Last Updated
Jun 4, 2020
License
3812C (AL)

Practice Information

Address
13833 TAPIA AVE
BAYOU LA BATRE, AL, 365092515
Browse AL providers · Browse ZIP 36509
Phone
2514502211
Primary Specialty
Clinical Social Worker
1041C0700X

Other Clinical Social Worker Providers in BAYOU LA BATRE, AL

Name Credential NPI
KAREN J FAULK MSW, LICSW 1437776598
CHELSEA MCCORMICK 1396407334
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.