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MS. BERTHA ALEXIS PETTAWAY LCSW
NPI 1306037528
Social Worker - Clinical in Los Angeles, CA

Active since August 05, 2007PECOS Enrolled
333 S BEAUDRY AVE, LOS ANGELES, CA 90017(213) 241-3841(213) 241-3505 Get Directions Write a Review

NPPES record last updated: September 9, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ms. Bertha Alexis Pettaway Lcsw NPPES

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

MS. BERTHA ALEXIS PETTAWAY LCSW (NPI 1306037528) is an individual clinical provider in Los Angeles, California, licensed in California (67188) and active in the NPI registry since August 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1306037528
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMS. BERTHA ALEXIS PETTAWAYCredential: LCSW
Location Address333 S BEAUDRY AVELos Angeles, CA 90017-1466
Mailing Address333 S Beaudry AveLos Angeles, CA 90017-1466 · (213) 241-3841 · Fax (213) 241-3505
Phone(213) 241-3841
Fax(213) 241-3505
Sole ProprietorYes
Enumeration DateAugust 5, 2007
Last NPPES UpdateSeptember 9, 2016
✔ NPI 1306037528 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Licenses✔ Licensed in CA · 67188✔ Licensed in CA · 26156
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.
333 S BEAUDRY AVE, Los Angeles, CA 90017
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Bertha Alexis Pettaway Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90017 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $62.96 – $187.60
Typical copayment $0.00 (range $15.74 – $46.90)
Most-billed visit code NA
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

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

KATHY ESTRADA MONTES LCSW
Social Worker (Clinical)
333 S BEAUDRY AVE
LOS ANGELES, CA 90017
Los Angeles County (213) 241-3841
ERIKA SANCHEZ
Social Worker (Clinical)
333 S BEAUDRY AVE
LOS ANGELES, CA 90017
Los Angeles County (213) 241-3841
ARPI GUBERMAN
Speech-Language Pathologist
333 S BEAUDRY AVE
LOS ANGELES, CA 90017
Los Angeles County (909) 964-8966
ANA MORAN LCSW
Social Worker (Clinical)
333 S BEAUDRY AVE
LOS ANGELES, CA 90017
Los Angeles County (213) 241-3841
ANA VIRGINIA AGUILAR
Student in an Organized Health Care Education/Training Program
333 S BEAUDRY AVE
LOS ANGELES, CA 90017
Los Angeles County (213) 241-3841
DAWN MARIE BRANNON LCSW
Social Worker (Clinical)
333 S BEAUDRY AVE
LOS ANGELES, CA 90017
Los Angeles County (213) 241-3841
SUSANA RABENA BUSTAMANTE LCSW
Social Worker (Clinical)
333 S BEAUDRY AVE
LOS ANGELES, CA 90017
Los Angeles County (213) 241-3841
SANDRA NAYELI MONTELONGO-KHUONG
Social Worker (Clinical)
333 S BEAUDRY AVE
LOS ANGELES, CA 90017
Los Angeles County (818) 993-9311

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 Bertha Pettaway's NPI number?

The NPI number for Bertha Pettaway is 1306037528. It was assigned to this individual provider in the NPPES registry on August 5, 2007.

Where is Bertha Pettaway located?

Bertha Pettaway practices at 333 S Beaudry Ave, Los Angeles, CA 90017. The listed phone number is (213) 241-3841.

What is Bertha Pettaway's specialty?

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

Is Bertha Pettaway enrolled in Medicare?

Yes. Bertha Pettaway is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Bertha Pettaway was last updated on September 9, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years 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.