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

Mrs. Marlene Frances Petta, MSSAACSWLMSW

Individual provider Social Worker · NPI 1417922097

Mrs. Marlene Frances Petta, MSSAACSWLMSW is a Social Worker in Martinez, Georgia. Licensed in Michigan. Registered with an NPI since 2006.

Licensed in
MI
In the registry since
2006
Specialties on file
2
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Practice location Address checks out

380 Crown Mill Dr
Martinez, GA 30907-9436
Phone: (706) 364-7954
Fax: (706) 364-7954
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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 L760944 (MI)
Social Worker Taxonomy 104100000X · Licence L760944 (MI)

Record details

NPI number1417922097
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSSAACSWLMSW
Sole proprietorNo
NPI enumeratedFebruary 17, 2006
Last updated in NPPESJuly 13, 2026

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