Individual provider Active NPI

Joy D Petty, MSW

  • Clinical Social Worker
  • Seward, AK
National Provider Identifier
1477311967
Registry record updated May 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
221919 Issued in AK
Practice address
302 Railway Ave
Seward, AK 99664-0999
Phone
(907) 224-5257
Fax
(907) 224-7081
NPI assigned
Mar 8, 2024
Last updated
May 29, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 221919 AK Primary

Addresses

Primary practice location

302 Railway Ave
Seward, AK 99664-0999

Mailing address

PO Box 1045
Seward, AK 99664-1045
Phone (907) 224-5257

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AK
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260113001163 AK Practitioner - Clinical Social Worker 8426565573 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2018
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

PO Box
Suite 1045
Seward, AK 99664

PO Box
Suite 1045
Seward, AK 99664-1045

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
221919AKMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Seaview Community Services CurrentSince Oct 16, 2025 Accepting new patients

Locations

302 Railway Ave
Seward, AK 99664
Phone (907) 224-5257

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1709856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748476800000",
    "number": "1477311967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1045",
            "city": "SEWARD",
            "state": "AK",
            "postal_code": "996641045",
            "telephone_number": "907-224-5257",
            "fax_number": "907-224-7081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 RAILWAY AVE",
            "city": "SEWARD",
            "state": "AK",
            "postal_code": "996640999",
            "telephone_number": "907-224-5257",
            "fax_number": "907-224-7081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETTY",
        "first_name": "JOY",
        "middle_name": "D",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-08",
        "last_updated": "2025-05-29",
        "certification_date": "2025-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AK",
            "license": "221919",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seward, AK

Sources for this page

Verify at the official NPI Registry.