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

Individual provider Clinical Social Worker · NPI 1306037528

MS. Bertha Alexis Pettaway, LCSW is a Clinical Social Worker in Los Angeles, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2007
Specialties on file
3
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

333 S Beaudry Ave
Los Angeles, CA 90017-1466
Phone: (213) 241-3841
Fax: (213) 241-3505
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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 67188 (CA)
Clinical Social Worker Taxonomy 1041C0700X · Licence 26156 (CA)
Clinical Social Worker Taxonomy 1041C0700X

Record details

NPI number1306037528
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedAugust 5, 2007
Last updated in NPPESSeptember 9, 2016

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