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

Individual provider Clinical Social Worker · NPI 1609480557

Damien W Pettway, EDS, LCSW is a Clinical Social Worker in Athens, Georgia. Practices as a sole proprietor. Licensed in Georgia.

Licensed in
GA
In the registry since
2020
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

445 Huntington Rd Ste 120
Athens, GA 30606-1840
Phone: (706) 389-5171
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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 CSW007537 (GA)

Record details

NPI number1609480557
Entity typeIndividual (Type 1)
GenderMale
Credentials EDS , LCSW
Sole proprietorYes
NPI enumeratedSeptember 8, 2020
Last updated in NPPESMarch 23, 2021
Certification dateMarch 23, 2021

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