Wendy Denise Pettit, LCSW-C

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

11124 Issued in MD

Practice address

10212 Governor Lane Blvd
Williamsport, MD 21795-4086

Phone

(240) 670-5530

NPI assigned

Aug 16, 2010

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1281916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759363200000",
    "number": "1255646154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10212 GOVERNOR LANE BLVD UNIT 1006",
            "city": "WILLIAMSPORT",
            "state": "MD",
            "postal_code": "217954088",
            "telephone_number": "240-670-5530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10212 GOVERNOR LANE BLVD",
            "city": "WILLIAMSPORT",
            "state": "MD",
            "postal_code": "217954086",
            "telephone_number": "240-670-5530"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "87 Wheat Field Ter",
            "address_purpose": "LOCATION",
            "city": "Harpers Ferry",
            "state": "WV",
            "postal_code": "254253255",
            "country_code": "US",
            "telephone_number": "240-818-8557",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PETTIT",
        "first_name": "WENDY",
        "middle_name": "DENISE",
        "name_prefix": "Ms.",
        "credential": "LCSW-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-16",
        "last_updated": "2025-10-02",
        "certification_date": "2025-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "11124",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Williamsport, MD
• Providers in Williamsport, MD by specialty
• Clinical Social Worker in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.