LEATHA MAE LEE PETTRESS LCSW-A
NPI 1710643135
Social Worker - Clinical in Raleigh, NC

Q: What is Leatha Pettress's NPI number?

The NPI number for Leatha Pettress is 1710643135. It was assigned to this individual provider in the NPPES registry on November 10, 2021.

Q: What is Leatha Pettress's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Leatha Pettress was last updated on July 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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 November 10, 2021PECOS Enrolled

6026 SIX FORKS RD, RALEIGH, NC 27609(919) 861-1600 Get Directions Write a Review

NPPES record last updated: July 7, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 7, 2025, Nov 10, 2021 (2 updates tracked since 2021).

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About Leatha Mae Lee Pettress Lcsw-a NPPES

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

LEATHA MAE LEE PETTRESS LCSW-A (NPI 1710643135) is an individual clinical provider in Raleigh, North Carolina and active in the NPI registry since November 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1710643135

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameLEATHA MAE LEE PETTRESSCredential: LCSW-A

Location Address6026 SIX FORKS RDRaleigh, NC 27609-3899

Mailing Address5205 Dana Dr Apt HRaleigh, NC 27606-2347 · (919) 449-1780

Phone(919) 861-1600

Sole ProprietorNo

Enumeration DateNovember 10, 2021

Last NPPES UpdateJuly 7, 20252 updates tracked since enumeration

NPPES CertifiedJuly 6, 2025

✔ NPI 1710643135 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

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.

6026 SIX FORKS RD, Raleigh, NC 27609

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, Oscar Health Plan of North Carolina, Inc, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Leatha Mae Lee Pettress Lcsw-a 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.

Medicare Billing Reassignment

Medicare enrollment records show Leatha Pettress reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Opportunities Industrialization Center, Inc.

44 mi

Federally Qualified Health Center (FQHC)

90 GUARDIAN CT
Rocky Mount, NC 27804

Reassigned Medicare billing, North Carolina enrollment
45 clinicians in this Medicare group

NPI 1396103305 (252) 212-3350

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27609 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 $54.12 – $165.09

Typical copayment $0.00 (range $13.53 – $41.27)

Most-billed visit code NA

Established Patient

$67.72 typical visit price

range $17.21 – $134.61

Typical copayment $16.93 (range $4.30 – $33.65)

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 13

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

WHITNEY TASHAE ALSTON-BROWN LCMHC-A LCAS-A

Counselor (Mental Health)