Juanita Pettaway, LISW
NPI 1518338748 · Clinical Social Worker · Maumee, OH
Enrolled with Medicare as Practitioner - Clinical Social Worker · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Juanita Pettaway, LISW is a Clinical Social Worker provider in Maumee, OH (NPI 1518338748).
Provider details
- NPI number
- 1518338748
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- LISW
- Sex
- Female
- Sole proprietor
- Yes
- License
- I.2203489 (OH)
Specialties & taxonomies
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
- 2015-10-14
- Last updated
- 2026-04-07
- Certified
- 2026-04-07
Frequently asked questions
- What is Juanita Pettaway's NPI number?
- Juanita Pettaway's National Provider Identifier (NPI) is 1518338748, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Juanita Pettaway's specialty?
- Juanita Pettaway is listed in the NPPES registry with a primary specialty of Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Juanita Pettaway located?
- Juanita Pettaway's practice location on file with NPPES is 311 1/2 Conant St Ste 205, Maumee, OH 43537-3378.
- What is Juanita Pettaway's phone number?
- The practice phone number listed in the NPPES registry for Juanita Pettaway is (567) 229-3467.
- Does Juanita Pettaway accept Medicare?
- Juanita Pettaway is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Juanita Pettaway's NPI active?
- Yes — Juanita Pettaway's NPI (1518338748) is active in the NPPES registry as of the last update on 2026-04-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.