Lifeworthy LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

LIFEWORTHY LLC

Practice address

311 1/2 Conant St Ste 205
Maumee, OH 43537-3378

Phone

(567) 229-3467

NPI assigned

Jun 18, 2020

Organization subpart

No

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

Authorized official

Name

Juanita Pettaway, LISWNPI 1518338748

Title

Owner

Phone

(567) 229-3467

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Juanita Pettaway, LISW

  • Clinical Social Worker
  • Maumee, OH
  • NPI 1518338748
  NPD Authorized official

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

{
    "created_epoch": "1592438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729123200000",
    "number": "1417573221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 1/2 CONANT ST STE 205",
            "city": "MAUMEE",
            "state": "OH",
            "postal_code": "435373378",
            "telephone_number": "567-229-3467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 1/2 CONANT ST STE 205",
            "city": "MAUMEE",
            "state": "OH",
            "postal_code": "435373378",
            "telephone_number": "567-229-3467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFEWORTHY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-18",
        "last_updated": "2024-10-17",
        "certification_date": "2024-10-17",
        "status": "A",
        "authorized_official_last_name": "PETTAWAY",
        "authorized_official_first_name": "JUANITA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "567-229-3467",
        "authorized_official_credential": "LISW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0428892",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stephanie Lemut
• Duane Lewis Leonard, MT
• Staci Leupp
• Patricia Lewandowski, RN
• Life Connection of Ohio
• Brenda Liggins
• Chaeeun Lim, PHARMD
• Andrea Linares, CDCA QHMS
• Latisha Lindley, APRN CNP, PMHNP
• Valerie Lint, D.O.

• Clinical Social Worker in Maumee, OH
• Providers in Maumee, OH by specialty
• Clinical Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2024; 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.