Sharon Elaine Pettway in Southgate - Clinical
Sharon Elaine Pettway - NPI 1578568721
Sharon Elaine Pettway is a Clinical in Southgate, Michigan. Sharon Elaine Pettway practices all healthcare services and medical treatments related to Clinical. The NPI Number for Sharon Elaine Pettway is 1578568721. The last update date is 2023-08-24.
Sharon Elaine Pettway's current location address is 13101 Allen Rd, Southgate, Michigan. You can contact this provider via phone number 7347857700. The mailing address for Sharon Elaine Pettway is 13101 Allen Rd, Southgate, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Sharon Elaine Pettway |
|---|---|
| Address | 13101 Allen Rd, Southgate, Michigan |
| Phone Number | 7347857700 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | ACSW, MSW, |
NPI Number Detail
| NPI Number | 1578568721 |
|---|---|
| Provider Enumeration Date | 2005-06-15 |
| Last Updated Date | 2023-08-24 |
Provider Mailing Address Detail
| Address | 13101 Allen Rd |
|---|---|
| City | Southgate |
| State | Michigan (MI) |
| Post Code | 4819522160 |
| Phone Number | 7347857700 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 6801061785 |
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Definition: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif |
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What is the Sharon Elaine Pettway's 1578568721?
The Sharon Elaine Pettway's NPI (National Provider Identifier) Number is 1578568721. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Sharon Elaine Pettway's facilities are situated?
The facilities of Sharon Elaine Pettway are physically located at the following address: 13101 Allen Rd, Southgate, MI, 4819522160.
What is the Sharon Elaine Pettway's specialty and taxonomy code?
The Sharon Elaine Pettway's specialty is Clinical, and the corresponding taxonomy code is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1578568721 to Sharon Elaine Pettway?
The Centers for Medicare & Medicaid Services originally issued the 1578568721 to Sharon Elaine Pettway on 2005-06-15.
When was the information regarding Sharon Elaine Pettway most recently updated?
The details pertaining to the Sharon Elaine Pettway, including its address, specialty, and other relevant information, were last refreshed on 2023-08-24.