IndividualActive
Stacy Pettitt, MSW
NPI 1104150705 · Social Worker · Pullman, WA
Stacy Pettitt, MSW is a Social Worker provider in Pullman, WA (NPI 1104150705).
Provider details
- NPI number
- 1104150705
- Entity type
- Individual
- Primary specialty
- Social WorkerBehavioral Health & Social Service Providers
- Credential
- MSW
- Sex
- Female
- Sole proprietor
- Yes
- License
- SA60567471 (WA)
Specialties & taxonomies
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
16 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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
340 Ne Maple
Pullman, WA 99163
Phone: (509) 334-1133
Fax: (509) 334-1133
Street-level locationGet directions
Mailing address
340 Ne Maple
Pullman, WA 99163
Registry dates
- Enumerated
- 2009-09-29
- Last updated
- 2015-06-04
Frequently asked questions
- What is Stacy Pettitt's NPI number?
- Stacy Pettitt's National Provider Identifier (NPI) is 1104150705, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Stacy Pettitt's specialty?
- Stacy Pettitt is listed in the NPPES registry with a primary specialty of Social Worker (Behavioral Health & Social Service Providers).
- Where is Stacy Pettitt located?
- Stacy Pettitt's practice location on file with NPPES is 340 Ne Maple, Pullman, WA 99163.
- What is Stacy Pettitt's phone number?
- The practice phone number listed in the NPPES registry for Stacy Pettitt is (509) 334-1133.
- Is Stacy Pettitt's NPI active?
- Yes — Stacy Pettitt's NPI (1104150705) is active in the NPPES registry as of the last update on 2015-06-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.