| Derrell Rashad Pettiway, MSW, LCSWA | |
|
2515 E Nc Highway 54 Bldg 2200, Durham, NC 27713-5251 | |
| (919) 493-0959 | |
| Not Available |
| Full Name | Derrell Rashad Pettiway |
|---|---|
| Gender | Male |
| Speciality | Social Worker - Clinical |
| Location | 2515 E Nc Highway 54 Bldg 2200, Durham, North Carolina |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215388814 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | P010476 (North Carolina) | Primary |
| 1041S0200X | Social Worker - School | 1199035 (North Carolina) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Derrell Rashad Pettiway, MSW, LCSWA 2000 Yonkers Rd, Raleigh, NC 27604-2258 Ph: (919) 493-0959 | Derrell Rashad Pettiway, MSW, LCSWA 2515 E Nc Highway 54 Bldg 2200, Durham, NC 27713-5251 Ph: (919) 493-0959 |
Miss Nancy Carol Lee, LCSW-P, CMSW, MHA Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 508 Fulton St, Social Work Service (122), Durham, NC 27705 Phone: 919-286-0411 Fax: 919-416-5834 | |
Ms. Esther L Swim-wright, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 115 N Duke Street, Suite 1-b, Durham, NC 27701 Phone: 919-286-3453 Fax: 919-286-7033 | |
Ms. Gwen Elizabeth Madill, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 508 Fulton St, Social Work Service, Durham, NC 27705 Phone: 919-286-0411 | |
Mr. Timothy P Donahoe, LQP, MSW, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2670 Durham-chapel Hill Blvd., Durham, NC 27707 Phone: 919-251-9001 Fax: 919-251-9008 | |
Mrs. Caroline Marie Griffin, MSW, LSCW-C Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 508 Fulton Street, Department Of Veterans Affairs Medical Center, Durham, NC 27705 Phone: 919-286-0411 | |
Miss Madeline Hooper, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 2670 Durham Chapel Hill Blvd, Durham, NC 27707 Phone: 919-251-9001 | |
Ms. Erum Agha, PHD, MSW, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 2310 S Miami Blvd Ste 136, Durham, NC 27703 Phone: 919-401-8261 |