IndividualActive
Beth Pettyjohn, LCSW
NPI 1053692210 · Clinical Social Worker · Millville, DE
Provider details
- NPI number
- 1053692210
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- Yes
- License
- LC50079164 (DC)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(85/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
32630 Cedar Dr Unit a
Millville, DE 19967-6946
Phone: (302) 500-2626
Fax: (888) 216-2869
Street-level locationGet directions
Mailing address
29l Atlantic Ave # 173
Millville, DE 19970-9115
Additional practice locations (1)
- 20130 Lakeview Center Plz Ste 400Ashburn, VA 20147-5905Phone: (302) 500-2626Fax: (888) 216-2869
Registry dates
- Enumerated
- 2011-09-01
- Last updated
- 2021-06-02
- Certified
- 2021-06-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.