Derrell Pettiway, MSW, LCSWA
NPI 1215388814 · Clinical Social Worker · Durham, NC
Derrell Pettiway, MSW, LCSWA is a Clinical Social Worker provider in Durham, NC (NPI 1215388814).
Provider details
- NPI number
- 1215388814
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- MSW, LCSWA
- Sex
- Male
- Sole proprietor
- No
- License
- P010476 (NC)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Profile Score
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
Mailing address
Registry dates
- Enumerated
- 2016-06-24
- Last updated
- 2016-07-13
Frequently asked questions
- What is Derrell Pettiway's NPI number?
- Derrell Pettiway's National Provider Identifier (NPI) is 1215388814, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Derrell Pettiway's specialty?
- Derrell Pettiway is listed in the NPPES registry with a primary specialty of Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Derrell Pettiway located?
- Derrell Pettiway's practice location on file with NPPES is 2515 E Nc Highway 54 Bldg 2200, Durham, NC 27713-5251.
- What is Derrell Pettiway's phone number?
- The practice phone number listed in the NPPES registry for Derrell Pettiway is (919) 493-0959.
- Is Derrell Pettiway's NPI active?
- Yes — Derrell Pettiway's NPI (1215388814) is active in the NPPES registry as of the last update on 2016-07-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.