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JUANITA PETTAWAY LISW
NPI 1518338748
Social Worker - Clinical in Maumee, OH

Active since October 14, 2015PECOS Enrolled
311 1/2 CONANT ST STE 205, MAUMEE, OH 43537(567) 229-3467 Get Directions Write a Review

NPPES record last updated: April 7, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Apr 7, 2026, Sep 24, 2024, Nov 7, 2017 (3 updates tracked since 2017).

About Juanita Pettaway Lisw NPPES

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

JUANITA PETTAWAY LISW (NPI 1518338748) is an individual clinical provider in Maumee, Ohio, licensed in Ohio (I.2203489) and active in the NPI registry since October 2015. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1518338748
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameJUANITA PETTAWAYCredential: LISW
Location Address311 1/2 CONANT ST STE 205Maumee, OH 43537-3378
Mailing Address311 1/2 Conant St Ste 205Maumee, OH 43537-3378 · (567) 229-3467
Phone(567) 229-3467
Sole ProprietorYes
Enumeration DateOctober 14, 2015
Last NPPES UpdateApril 7, 20263 updates tracked since enumeration
NPPES CertifiedApril 7, 2026
✔ NPI 1518338748 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 OH · I.2203489
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.
311 1/2 CONANT ST STE 205, Maumee, OH 43537
Open in Google Maps ↗

Other Identifiers 1

Medicaid2871101OH

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, McLaren Health Plan Community, MedMutual.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Juanita Pettaway Lisw 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 43537 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 $54.34 – $166.65
Typical copayment $0.00 (range $13.58 – $41.66)
Most-billed visit code NA
Established Patient
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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

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

LIFEWORTHY LLC
Social Worker (Clinical)
311 1/2 CONANT ST STE 205
MAUMEE, OH 43537
Lucas County (567) 229-3467

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 Juanita Pettaway's NPI number?

The NPI number for Juanita Pettaway is 1518338748. It was assigned to this individual provider in the NPPES registry on October 14, 2015.

Where is Juanita Pettaway located?

Juanita Pettaway practices at 311 1/2 Conant St Ste 205, Maumee, OH 43537. The listed phone number is (567) 229-3467.

What is Juanita Pettaway's specialty?

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

Is Juanita Pettaway enrolled in Medicare?

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

What insurance does Juanita Pettaway accept?

Health plans from Anthem Blue Cross and Blue Shield, McLaren Health Plan Community and MedMutual list Juanita Pettaway 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 Juanita Pettaway was last updated on April 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.