CARL PETTWAY JR.


Address: 5470 Chene St, Detroit, MI 48211-2746
Phone: 3139675320

CARL PETTWAY JR. (NPI# 1205208857) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1205208857
Entity Type Individual
Full Name CARL PETTWAY JR.
Credential LLMSW
Practice Address 5470 Chene St
Detroit
MI 48211-2746
Practice Telephone 3139675320
Mailing Telephone 3139675320
Enumeration Date 2015-10-22
Last Update Date 2015-10-22
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 104100000X Social Worker 6801096188 MI Behavioral Health & Social Service Providers

Office Location

Street Address 5470 CHENE ST
City DETROIT
State MI
Zip Code 48211-2746

Providers in the same location

NPI Name Taxonomy Address Enumeration
1356471544 Frank Levern Day Counselor 5470 Chene St, Detroit, MI 48211-2746 2007-03-06
1295284651 Wesley Williams Counselor 5470 Chene St, Detroit, MI 48211-2746 2016-09-27
1053780197 Deanna Tartaglia Social Worker 5470 Chene St, Detroit, MI 48211-2746 2015-09-18
1033595608 Alecia Carey Social Worker 5470 Chene St, Detroit, MI 48211-2746 2015-08-06
1497910079 Donald R Moore Counselor 5470 Chene St, Detroit, MI 48211-2746 2008-07-23
1508984691 Aldeana Fox Counselor 5470 Chene St, Suite 100, Detroit, MI 48211-2746 2007-03-27
1851423768 Jesse Washington Jr. Counselor 5470 Chene St, Detroit, MI 48211-2746 2007-03-09
1811027113 Lynda Louise Smith Counselor 5470 Chene St, Suite 100, Detroit, MI 48211-2746 2007-03-06
1952431488 Gregory Lawrence Lindsey Sr. Counselor 5470 Chene St, Detroit, MI 48211-2746 2007-03-06

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1528572930 Tabatha Green Licensed Practical Nurse 1221 East Brand Blvd, Detroit, MI 48211 2017-11-21
1760714406 Nathan Terey Counselor 5470 Chene Ave, Detroit, MI 48211 2010-02-05
1174735286 Staci Hirsch Psychologist 5470 Chene Street, Detroit, MI 48211 2007-05-03
1497872352 Une Sur Une Resource Services LLC Social Worker 8718 Oakland St, Detroit, MI 48211-1241 2007-03-24
1558524884 Rebecca Woloszyn Social Worker 8718 Oakland St, Detroit, MI 48211-1241 2008-07-07
1902064405 Venessa Jean Parks Counselor 8718 Oakland St, Detroit, MI 48211-1241 2008-05-30
1972790459 Nelda Kay Lejeune Social Worker 8718 Oakland St, Detroit, MI 48211-1241 2007-09-28
1760718605 Teena Marie Sawicki Social Worker 3501 Hamtramck Dr, Hamtramck, MI 48211-1400 2009-10-28
1659672699 Margaret Elizabeth Hudson-collins Psychiatry & Neurology 3501 Hamtramck Dr, Detroit, MI 48211-1400 2010-11-08
1184932766 John A. Lyle Psychologist 3501 Hamtramck Dr, Hamtramck, MI 48211-1400 2010-09-17
Find all providers in zip 48211

Taxonomy Information

Taxonomy Code 104100000X
Grouping Behavioral Health & Social Service Providers
Classification Social Worker

Taxonomy Definition

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.
Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1497363758 Ana H Calandrino Social Worker 155 W Congress St Ste 206, Detroit, MI 48226-3200 2020-07-22
1295352532 Laysha Cooks Social Worker 18638 Hartwell St, Detroit, MI 48235-1345 2020-07-02
1851922892 Celeste Gaskin Social Worker 9103 Longworth St, Detroit, MI 48209-1717 2020-01-29
1619526100 Diamond Adult Foster and Respite Homes LLC Social Worker 8028 Middlepoint St, Detroit, MI 48204-3132 2019-09-06
1083269922 Amelia Mariah Allen Social Worker 13511 Archdale St, Detroit, MI 48227-1335 2019-08-07
1942853023 Eshe Institute LLC Social Worker 19600 Grand River Ave, Detroit, MI 48223-1280 2019-07-18
1013569920 Tatyana Aubrey Pryor Social Worker 6821 Medbury St, Detroit, MI 48211-3317 2019-07-10
1649831439 Charday Penick Social Worker Team Wellness, 2925 Russell St, Detroit, MI 48207 2019-06-24
1568023349 Alphia Ramona Burgess Social Worker Team Wellness Center, 2925 Russell Street, Detroit, MI 48207 2019-06-24
1902464969 Michanda Gant Social Worker 18244 W Mcnichols Rd, Detroit, MI 48219-4163 2019-06-04
Find all providers in DETROIT

Competitor

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City DETROIT
Zip Code 48211

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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