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SAMANTHA N PETTAWAY
NPI 1629444583
Social Worker - Clinical in Bayou La Batre, AL

Active since August 14, 2015
13833 TAPIA AVE, BAYOU LA BATRE, AL 36509(251) 450-2211 Get Directions Write a Review

NPPES record last updated: June 4, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 4, 2020, May 22, 2020 (2 updates tracked since 2020).

About Samantha N Pettaway NPPES

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

SAMANTHA N PETTAWAY (NPI 1629444583) is an individual clinical provider in Bayou La Batre, Alabama, licensed in Alabama (3812C) and active in the NPI registry since August 2015.

NPPES Registry Identity

NPI1629444583
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameSAMANTHA N PETTAWAY
Location Address13833 TAPIA AVEBayou La Batre, AL 36509-2515
Mailing Address5750a Southland DrMobile, AL 36693-3316 · (251) 450-5095
Phone(251) 450-2211
Sole ProprietorNo
Enumeration DateAugust 14, 2015
Last NPPES UpdateJune 4, 20202 updates tracked since enumeration
NPPES CertifiedJune 4, 2020
✔ NPI 1629444583 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 AL · 3812C
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.
13833 TAPIA AVE, Bayou La Batre, AL 36509
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Other Providers at the Same Location NPPES 14

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

DR. REGINA M BENJAMIN MD
Family Medicine
13833 TAPIA AVE
BAYOU LA BATRE, AL 36509
Mobile County (251) 824-4985
MRS. KATHY J HINTZ PA
Physician Assistant
13833 TAPIA AVE
BAYOU LA BATRE, AL 36509
Mobile County (251) 824-8320
BAYOUCLINIC, INC.
Family Medicine
13833 TAPIA AVE
BAYOU LA BATRE, AL 36509
Mobile County (251) 824-4985
ACCORDIA HEALTH, INC.
Family Medicine
13833 TAPIA AVE
BAYOU LA BATRE, AL 36509
Mobile County (251) 824-8320
CHELSEA MCCORMICK
Social Worker (Clinical)
13833 TAPIA AVE
BAYOU LA BATRE, AL 36509
Mobile County (251) 824-8320
MRS. JUANITA C VILLASIS-LOPEZ MD
Internal Medicine
13833 TAPIA AVE
BAYOU LA BATRE, AL 36509
Mobile County (251) 824-4985
KAREN J FAULK MSW, LICSW
Social Worker (Clinical)
13833 TAPIA AVE
BAYOU LA BATRE, AL 36509
Mobile County (251) 824-8320
ALTAPOINTE BILLING SERVICES, LLC
Clinic/Center (Federally Qualified Health Center (FQHC))
13833 TAPIA AVE
BAYOU LA BATRE, AL 36509
Mobile County (251) 824-8320

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 Samantha Pettaway's NPI number?

The NPI number for Samantha Pettaway is 1629444583. It was assigned to this individual provider in the NPPES registry on August 14, 2015.

Where is Samantha Pettaway located?

Samantha Pettaway practices at 13833 Tapia Ave, Bayou La Batre, AL 36509. The listed phone number is (251) 450-2211.

What is Samantha Pettaway'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 Samantha Pettaway was last updated on June 4, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.