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

Laurie E Pettis, LCSW-S, LCDC

Individual provider Clinical Social Worker · NPI 1730943812

Laurie E Pettis, LCSW-S, LCDC is a Clinical Social Worker in Austin, Texas. Works from 2 locations. Licensed in Mississippi and Texas.

Licensed in
MS, TX
In the registry since
2024
Specialties on file
3

Practice location Address checks out

4109 Todd Ln Ste 700
Austin, TX 78744-1097
Phone: (512) 872-4605
Show map & directions

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

Additional practice locations (1)

  • 720 Oak Grove Rd Bldg 3, Mantachie, MS 38855-8469 — (662) 810-4146

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 106330 (TX)
Clinical Social Worker Taxonomy 1041C0700X · Licence C-11584 (MS)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 16392 (TX)

Record details

NPI number1730943812
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW-S , LCDC
Sole proprietorNo
NPI enumeratedFebruary 9, 2024
Last updated in NPPESJuly 3, 2026
Certification dateJuly 3, 2026

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