Katrina Dawn Pettigrew, LLMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801105124 Issued in MI

Practice address

913 W Holmes Rd Ste 189
Lansing, MI 48910-0434

Phone

(517) 272-4357

NPI assigned

Dec 16, 2020

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

Other names 1

• Ms. Katrina Dawn Malcolm Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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

• BHG Lxxxiii, LLC

  dba BHG Medical Services - Michigan

  • Multi-Specialty Clinic/Center
  • Lansing, MI
  • NPI 1518677525
  NPD
• Michigan Therapeutic Consultants PC

  • Methadone Clinic
  • Mt Pleasant, MI
  • NPI 1598932253
  NPD

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

{
    "created_epoch": "1608076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608076800000",
    "number": "1720674575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 E SEMINARY ST",
            "city": "CHARLOTTE",
            "state": "MI",
            "postal_code": "488131619",
            "telephone_number": "304-543-0847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "913 W HOLMES RD STE 189",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489100434",
            "telephone_number": "517-272-4357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETTIGREW",
        "first_name": "KATRINA",
        "middle_name": "DAWN",
        "name_prefix": "Mrs.",
        "credential": "LLMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-16",
        "last_updated": "2020-12-16",
        "certification_date": "2020-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801105124",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATRINA",
            "last_name": "MALCOLM",
            "middle_name": "DAWN",
            "prefix": "MS.",
            "credential": "LLMSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Linda M Peterson, MD
• Pamela Sue Peterson, LPC
• William Paul Peterson Jr., MD
• Jennie Marie Petrovich, MSW
• Marshawn Pettes
• Hannah Margaret Peyerk, OTD, OTRL
• Chloe Phend
• Sophonie Edgla Philidor
• Anne Philips
• Angela Marie Phillips, R.PH.

• Clinical Social Worker in Lansing, MI
• Providers in Lansing, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2020; 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.