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DAMIEN W PETTWAY ED.S., LCSW
NPI 1609480557
Social Worker - Clinical in Athens, GA

Active since September 08, 2020
445 HUNTINGTON RD STE 120, ATHENS, GA 30606(706) 389-5171 Get Directions Write a Review

NPPES record last updated: March 23, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 23, 2021, Sep 8, 2020 (2 updates tracked since 2020).

About Damien W Pettway Ed.s., Lcsw NPPES

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

DAMIEN W PETTWAY ED.S., LCSW (NPI 1609480557) is an individual clinical provider in Athens, Georgia, licensed in Georgia (CSW007537) and active in the NPI registry since September 2020.

NPPES Registry Identity

NPI1609480557
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameDAMIEN W PETTWAYCredential: ED.S., LCSW
Location Address445 HUNTINGTON RD STE 120Athens, GA 30606-1840
Mailing Address3651 Ryland Hills DrWatkinsville, GA 30677-2978 · (706) 248-5663
Phone(706) 389-5171
Sole ProprietorYes
Enumeration DateSeptember 8, 2020
Last NPPES UpdateMarch 23, 20212 updates tracked since enumeration
NPPES CertifiedMarch 23, 2021
✔ NPI 1609480557 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 GA · CSW007537
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.
445 HUNTINGTON RD STE 120, Athens, GA 30606
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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 Damien Pettway's NPI number?

The NPI number for Damien Pettway is 1609480557. It was assigned to this individual provider in the NPPES registry on September 8, 2020.

Where is Damien Pettway located?

Damien Pettway practices at 445 Huntington Rd Ste 120, Athens, GA 30606. The listed phone number is (706) 389-5171.

What is Damien Pettway's specialty?

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

When was this NPI record last updated?

The NPPES record for Damien Pettway was last updated on March 23, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.