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KEITH PETTIFORD
NPI 1982120358
Counselor - Addiction (Substance Use Disorder) in Wilmington, DE

Active since August 17, 2017
2713 LANCASTER AVE, WILMINGTON, DE 19805(302) 225-2500 Get Directions Write a Review

NPPES record last updated: August 17, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Keith Pettiford NPPES

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

KEITH PETTIFORD (NPI 1982120358) is an individual addiction (substance use disorder) provider in Wilmington, Delaware and active in the NPI registry since August 2017.

NPPES Registry Identity

NPI1982120358
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameKEITH PETTIFORD
Location Address2713 LANCASTER AVEWilmington, DE 19805-5220
Mailing Address2713 Lancaster AveWilmington, DE 19805-5220
Phone(302) 225-2500
Sole ProprietorNo
Enumeration DateAugust 17, 2017
✔ NPI 1982120358 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
2713 LANCASTER AVE, Wilmington, DE 19805
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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.

MARK VINCENT CASENTA
Counselor (Addiction (Substance Use Disorder))
2713 LANCASTER AVE
WILMINGTON, DE 19805
New Castle County (302) 656-2348
MONA LISA ROBINSON
Counselor (Addiction (Substance Use Disorder))
2713 LANCASTER AVE
WILMINGTON, DE 19805
New Castle County (302) 656-2348
CHRISTINE A CZAJKOWSKI
Counselor (Addiction (Substance Use Disorder))
2713 LANCASTER AVE
WILMINGTON, DE 19805
New Castle County (302) 656-2348
TESIA SARI HILL
Counselor (Addiction (Substance Use Disorder))
2713 LANCASTER AVE
WILMINGTON, DE 19805
New Castle County (302) 656-2348
CARLA EVERETT
Licensed Practical Nurse
2713 LANCASTER AVE
WILMINGTON, DE 19805
New Castle County (302) 656-2348
CHRISTIN CORCORAN LPN
Licensed Practical Nurse
2713 LANCASTER AVE
WILMINGTON, DE 19805
New Castle County (302) 656-2348
ERIC HALTON
Counselor (Addiction (Substance Use Disorder))
2713 LANCASTER AVE
WILMINGTON, DE 19805
New Castle County (302) 225-9267
BRENDA L CIBROSKI
Counselor (Addiction (Substance Use Disorder))
2713 LANCASTER AVE
WILMINGTON, DE 19805
New Castle County (302) 656-2348

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 Keith Pettiford's NPI number?

The NPI number for Keith Pettiford is 1982120358. It was assigned to this individual provider in the NPPES registry on August 17, 2017.

Where is Keith Pettiford located?

Keith Pettiford practices at 2713 Lancaster Ave, Wilmington, DE 19805. The listed phone number is (302) 225-2500.

What is Keith Pettiford's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Keith Pettiford was last updated on August 17, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.