Search › North Carolina › 1041C0700X
Derrell Pettiway, MSW, LCSWA
NPI 1215388814 · on the registry since 2016
Practice
- Address
- 2515 E Nc Highway 54 Bldg 2200
Durham, NC 27713 - Phone
- (919) 493-0959
- Clinicians at this address
- 8
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Also registered as
- 1041S0200X
- Licence states on file
- NC
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2016-07-13
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in North Carolina