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

Individual provider Clinical Social Worker · NPI 1215388814

Derrell Rashad Pettiway, MSW, LCSWA is a Clinical Social Worker in Durham, North Carolina. Licensed in North Carolina. Registered with an NPI since 2016.

Licensed in
NC
In the registry since
2016
Specialties on file
2
What do these letters mean?
MSW — Master of Social Work
The graduate degree in social work.

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Practice location Address checks out

2515 E Nc Highway 54 Bldg 2200
Durham, NC 27713-5251
Phone: (919) 493-0959
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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 P010476 (NC)
School Social Worker Taxonomy 1041S0200X · Licence 1199035 (NC)

Record details

NPI number1215388814
Entity typeIndividual (Type 1)
GenderMale
Credentials MSW , LCSWA
Sole proprietorNo
NPI enumeratedJune 24, 2016
Last updated in NPPESJuly 13, 2016

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