ANDREA MARIE PETTETT ACSW
NPI 1780330720
Counselor - Mental Health in Los Angeles, CA

Active since February 28, 2022
3850 CRENSHAW BLVD, LOS ANGELES, CA 90008(323) 751-3026 Get Directions Write a Review

NPPES record last updated: February 28, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Andrea Marie Pettett Acsw NPPES

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

ANDREA MARIE PETTETT ACSW (NPI 1780330720) is an individual mental health provider in Los Angeles, California, licensed in California (107101) and active in the NPI registry since February 2022.

NPPES Registry Identity

NPI1780330720
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameANDREA MARIE PETTETTCredential: ACSW
Location Address3850 CRENSHAW BLVDLos Angeles, CA 90008-1821
Mailing Address3850 Crenshaw BlvdLos Angeles, CA 90008-1821
Sole ProprietorNo
Enumeration DateFebruary 28, 2022
NPPES CertifiedFebruary 28, 2022
NPI 1780330720 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License Licensed in CA · 107101
3850 CRENSHAW BLVD, Los Angeles, CA 90008

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.

Social Worker (Clinical)
3850 CRENSHAW BLVD
LOS ANGELES, CA 90008
Counselor (Mental Health)
3850 CRENSHAW BLVD
LOS ANGELES, CA 90008
Social Worker (Clinical)
3850 CRENSHAW BLVD
LOS ANGELES, CA 90008
Nurse Practitioner
3850 CRENSHAW BLVD
LOS ANGELES, CA 90008
Marriage & Family Therapist
3850 CRENSHAW BLVD
LOS ANGELES, CA 90008
Peer Specialist
3850 CRENSHAW BLVD
LOS ANGELES, CA 90008
Social Worker (Clinical)
3850 CRENSHAW BLVD
LOS ANGELES, CA 90008
Community Health Worker
3850 CRENSHAW BLVD
LOS ANGELES, CA 90008

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 Andrea Pettett's NPI number?

The NPI number for Andrea Pettett is 1780330720. It was assigned to this individual provider in the NPPES registry on February 28, 2022.

Where is Andrea Pettett located?

Andrea Pettett practices at 3850 Crenshaw Blvd, Los Angeles, CA 90008. The listed phone number is (323) 751-3026.

What is Andrea Pettett's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Andrea Pettett was last updated on February 28, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.