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SHAQUANA ANNETTE PETTUS
NPI 1083421267
Social Worker - Clinical in Elizabeth City, NC

Active since December 12, 2024
110 MEDICAL DR, ELIZABETH CITY, NC 27909(252) 384-0388 Get Directions Write a Review

NPPES record last updated: December 16, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 16, 2024, Dec 12, 2024 (2 updates tracked since 2024).

About Shaquana Annette Pettus NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHAQUANA ANNETTE PETTUS (NPI 1083421267) is an individual clinical provider in Elizabeth City, North Carolina, licensed in North Carolina (P021058) and active in the NPI registry since December 2024.

NPPES Registry Identity

NPI1083421267
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameSHAQUANA ANNETTE PETTUS
Location Address110 MEDICAL DRElizabeth City, NC 27909-3316
Mailing Address115 Mackey DrElizabeth City, NC 27909-5550 · (252) 267-4173
Phone(252) 384-0388
Sole ProprietorNo
Enumeration DateDecember 12, 2024
Last NPPES UpdateDecember 16, 20242 updates tracked since enumeration
NPPES CertifiedDecember 16, 2024
✔ NPI 1083421267 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in NC · P021058
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, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
110 MEDICAL DR, Elizabeth City, NC 27909
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC.Insurance ›

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SEEKING OUT SERENDIPITY COUNSELING SERVICES
Marriage & Family Therapist
110 MEDICAL DR
ELIZABETH CITY, NC 27909
Pasquotank County (252) 340-4964
OMEGA OF NORTH CAROLINA, LLC
Clinical Medical Laboratory
110 MEDICAL DR, SUITE 8
ELIZABETH CITY, NC 27909
Pasquotank County (252) 338-5183
SABRINA COWELL PHLEBOTOMY TECH.
Technician, Pathology (Phlebotomy)
110 MEDICAL DR, SUITE 1
ELIZABETH CITY, NC 27909
Pasquotank County (252) 619-4972
PATHOLOGY ASSOCIATES II OF EASTERN NORTH CAROLINA PC
Clinical Medical Laboratory
110 MEDICAL DR, SUITE 1
ELIZABETH CITY, NC 27909
Pasquotank County (252) 338-8100
ALBEMARLE NEUROLOGY, P. A.
Specialist
110 MEDICAL DR, SUITE 5
ELIZABETH CITY, NC 27909
Pasquotank County (252) 331-1188

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shaquana Pettus's NPI number?

The NPI number for Shaquana Pettus is 1083421267. It was assigned to this individual provider in the NPPES registry on December 12, 2024.

Where is Shaquana Pettus located?

Shaquana Pettus practices at 110 Medical Dr, Elizabeth City, NC 27909. The listed phone number is (252) 384-0388.

What is Shaquana Pettus's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

What insurance does Shaquana Pettus accept?

Health plans from Blue Cross and Blue Shield of NC list Shaquana Pettus as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Shaquana Pettus was last updated on December 16, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.