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

Caroline Petty, LCSW

Individual provider Clinical Social Worker · NPI 1417746447

Caroline Petty, LCSW is a Clinical Social Worker in Columbus, Mississippi. Practices as a sole proprietor. Licensed in Mississippi.

Licensed in
MS
In the registry since
2025
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

2966 Tabernacle Rd
Columbus, MS 39702-9622
Phone: (662) 352-6562
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence C10609 (MS)

Record details

NPI number1417746447
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedMay 5, 2025
Last updated in NPPESMay 5, 2025
Certification dateMay 5, 2025
Mailing address2966 Tabernacle Rd, Columbus, MS 39702-9622

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