Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Azalia Pettway, LCSWC

Individual provider Clinical Social Worker · NPI 1669149506

Azalia Pettway, LCSWC is a Clinical Social Worker in Eldersburg, Maryland. Works from 2 locations. Licensed in Maryland and North Carolina.

Licensed in
MD, NC
In the registry since
2021
Specialties on file
2

Practice location Address checks out

1901 Lennox Dr
Eldersburg, MD 21784-6699
Phone: (443) 403-9597
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 6618 Glenville Dr, Whitsett, NC 27377-9141 — (443) 403-9597

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 20296 (MD)
Clinical Social Worker Taxonomy 1041C0700X · Licence C014221 (NC)

Record details

NPI number1669149506
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSWC
Sole proprietorNo
NPI enumeratedAugust 27, 2021
Last updated in NPPESDecember 14, 2021
Certification dateDecember 14, 2021

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