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

Mr. David R Petty Jr., LCSW

Individual provider Clinical Social Worker · NPI 1205701158

Mr. David R Petty Jr., LCSW is a Clinical Social Worker in Hampton, Georgia. Practices as a sole proprietor. Licensed in Georgia.

Licensed in
GA
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

714 Pownal Ln
Hampton, GA 30228-6185
Phone: (678) 481-8883
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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 CSW009570 (GA)

Record details

NPI number1205701158
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorYes
NPI enumeratedOctober 9, 2025
Last updated in NPPESOctober 9, 2025
Certification dateOctober 9, 2025

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