Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. DEJUANA LACHELLE DANZELL PETTEWAY, LCSW, ASCW, ACHP-SW
ActiveMRS. DEJUANA LACHELLE DANZELL PETTEWAY, LCSW, ASCW, ACHP-SW is a Clinical Social Worker healthcare provider located in SHREVEPORT, Louisiana. NPI 1740489301 is currently active in the NPPES registry. Verify at CMS.
Clinical Social Worker · SHREVEPORT, LA
Registration Details
- NPI Number
- 1740489301
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 13, 2007 (19.104608023621 yrs)
- Last Updated
- Mar 19, 2021
- License
-
9900 (LA)
Practice Information
- Address
-
510 E. STONER AVENUESHREVEPORT, LA, 711014295Browse LA providers · Browse ZIP 71101
- Phone
- 3182218411
- Primary Specialty
-
Clinical Social Worker
1041C0700X
Other Clinical Social Worker Providers in SHREVEPORT, LA
| Name | Credential | NPI |
|---|---|---|
| DR. ALESIA GAYLE BISHOP | PSYD, MSSW,LCSW-BACS | 1568437242 |
| MR. FRANK WILLIAM WHITE | LCSW | 1144285115 |
| MS. DARLENE PETERSON RHODES | MSW | 1306895230 |
| MS. LAURA COLEMAN MCFERRIN | LCSW | 1205874161 |
| ESTHER YVONNE OSBORNE | LCSW | 1730121963 |
| MRS. KIMBERLY BICKHAM MCCLELLAND | LCSW | 1639115348 |
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.