Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Tammy F Williams-Petry, LISW

Individual provider Clinical Social Worker · NPI 1972837771

Tammy F Williams-Petry, LISW is a Clinical Social Worker in Dayton, Ohio. Qualified in 2004, 22 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
22
Licensed in
OH
In the registry since
2009
What do these letters mean?
LISW — Licensed Independent Social Worker
A social worker licensed to practise independently.

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Practice location Address checks out

1055 E Centerville Station Rd
Dayton, OH 45459-5500
Phone: (937) 439-2984
Fax: (937) 439-2984
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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 I.0800280 (OH)

Record details

NPI number1972837771
Entity typeIndividual (Type 1)
GenderFemale
Credentials LISW
Sole proprietorYes
NPI enumeratedSeptember 25, 2009
Last updated in NPPESDecember 1, 2016

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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