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

Jerell Akeem Pettway

Individual provider Case Manager/Care Coordinator · NPI 1700341476

Jerell Akeem Pettway is a Case Manager/Care Coordinator in Los Angeles, California. Practices as a sole proprietor and works from 3 locations. Licensed in California.

Licensed in
CA
In the registry since
2019
Specialties on file
2

Practice location Address checks out

3850 Crenshaw Blvd
Los Angeles, CA 90008-1821
Phone: (323) 751-3026
Show map & directions

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

Additional practice locations (2)

  • 108 W Victoria St, Gardena, CA 90248-3523 — (310) 715-2020
  • 1328 2nd St, Santa Monica, CA 90401-1122 — (310) 394-6889

Specialties & licences

Marriage & Family Therapist (primary) Taxonomy 106H00000X · Licence 137903 (CA)
Case Manager/Care Coordinator Taxonomy 171M00000X

Record details

NPI number1700341476
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedFebruary 6, 2019
Last updated in NPPESOctober 11, 2023
Certification dateOctober 11, 2023

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