Damien W Pettway, ED.S., LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CSW007537 Issued in GA

Practice address

445 Huntington Rd Ste 120
Athens, GA 30606-1840

Phone

(706) 389-5171

NPI assigned

Sep 8, 2020

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1599523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616457600000",
    "number": "1609480557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3651 RYLAND HILLS DR",
            "city": "WATKINSVILLE",
            "state": "GA",
            "postal_code": "306772978",
            "telephone_number": "706-248-5663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "445 HUNTINGTON RD STE 120",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306061840",
            "telephone_number": "706-389-5171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETTWAY",
        "first_name": "DAMIEN",
        "middle_name": "W",
        "credential": "ED.S., LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-09-08",
        "last_updated": "2021-03-23",
        "certification_date": "2021-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW007537",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "denny.pettway@abetterwayconsulting.com",
            "affiliation": "N",
            "endpointDescription": "Practice",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "445 Huntington Rd Ste 120",
            "city": "Athens",
            "state": "GA",
            "country_code": "US",
            "postal_code": "306061840",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Margaret Helen Peterson, PT, DPT, ATC
• Eleni Petrou
• Alexis Vickers Petry, DC
• Margret Elizabeth Pettit
• Ashley Pettoni, PSY.D.
• Staci Pfeiffer, EDS, LPC, NCC
• Jason M Pfluke, M.D.
• Emily Le Pham, PHARMD
• Tenzing Phanthok, M.D.
• Sue Macleod Phelps

• Clinical Social Worker in Athens, GA
• Providers in Athens, GA by specialty
• Clinical Social Worker in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2021; 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.