COLTON PETTYJOHN
NPI 1295533388
Social Worker in Rockford, IL

Q: What is Colton Pettyjohn's NPI number?

The NPI number for Colton Pettyjohn is 1295533388. It was assigned to this individual provider in the NPPES registry on March 4, 2025.

Q: What is Colton Pettyjohn's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Q: When was this NPI record last updated?

The NPPES record for Colton Pettyjohn was last updated on March 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since March 04, 2025

4205 BEACH ST APT 106, ROCKFORD, IL 61108(217) 271-7211 Get Directions Write a Review

NPPES record last updated: March 4, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Colton Pettyjohn NPPES

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

COLTON PETTYJOHN (NPI 1295533388) is an individual social worker in Rockford, Illinois, licensed in Illinois (150109179) and active in the NPI registry since March 2025.

NPPES Registry Identity

NPI1295533388

Entity TypeIndividualMale

Primary Taxonomy104100000X

Provider Legal NameCOLTON PETTYJOHN

Location Address4205 BEACH ST APT 106Rockford, IL 61108-7854

Mailing Address4205 Beach St Apt 106Rockford, IL 61108-7854 · (217) 271-7211

Phone(217) 271-7211

Sole ProprietorNo

Enumeration DateMarch 4, 2025

NPPES CertifiedMarch 4, 2025

✔ NPI 1295533388 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers

Taxonomy Code104100000X

License✔ Licensed in IL · 150109179

Definition

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

4205 BEACH ST APT 106, Rockford, IL 61108

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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 Colton Pettyjohn's NPI number?

The NPI number for Colton Pettyjohn is 1295533388. It was assigned to this individual provider in the NPPES registry on March 4, 2025.

Where is Colton Pettyjohn located?

Colton Pettyjohn practices at 4205 Beach St Apt 106, Rockford, IL 61108. The listed phone number is (217) 271-7211.

What is Colton Pettyjohn's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

When was this NPI record last updated?

The NPPES record for Colton Pettyjohn was last updated on March 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.