What is Carl Pettway's NPI number?

Carl Pettway's National Provider Identifier (NPI) is 1205208857, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Carl Pettway's specialty?

Carl Pettway is listed in the NPPES registry with a primary specialty of Social Worker (Behavioral Health & Social Service Providers).

Where is Carl Pettway located?

Carl Pettway's practice location on file with NPPES is 5470 Chene St, Detroit, MI 48211-2746.

What is Carl Pettway's phone number?

The practice phone number listed in the NPPES registry for Carl Pettway is (313) 967-5320.

Is Carl Pettway's NPI active?

Yes — Carl Pettway's NPI (1205208857) is active in the NPPES registry as of the last update on 2015-10-22.

IndividualActive

Carl Pettway, LLMSW

NPI 1205208857 · Social Worker · Detroit, MI

Carl Pettway, LLMSW is a Social Worker provider in Detroit, MI (NPI 1205208857).

Provider details

NPI number: 1205208857
Entity type: Individual
Primary specialty: Social WorkerBehavioral Health & Social Service Providers
Credential: LLMSW
Sex: Male
Sole proprietor: Yes
License: 6801096188 (MI)

Specialties & taxonomies

Social WorkerPrimary104100000XLicense 6801096188 (MI)
Behavioral Health & Social Service Providers

Profile Score

Established profile(73/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
10 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

5470 Chene St

Detroit, MI 48211-2746

Phone: (313) 967-5320

Street-level locationGet directions

More MI providers

Mailing address