Christina Petty, LISW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

I.2405473 Issued in OH

Practice address

1101 Jackson St Ste C
Greenville, OH 45331-1396

Phone

(937) 547-2319

NPI assigned

Jun 9, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

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

Specialty

Clinical Social Worker

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Family Health Services of Darke County, Inc.Group PAC ID 5698762235, 57 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: christina.petty@fhsi.eclinicaldirectplus.com

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.

• Family Health Services of Darke County, Inc.

  • Federally Qualified Health Center (FQHC)
  • Versailles, OH
  • NPI 1013244680
  Medicare reassignment Care Compare group
• Family Health Services of Darke County Inc

  • Student Health Clinic/Center
  • New Madison, OH
  • NPI 1477244275
  NPD
• Family Health Services of Darke County, Inc.

  • Primary Care Clinic/Center
  • Versailles, OH
  • NPI 1114254042
  NPD
• Family Health Services of Darke County, Inc.

  • Primary Care Clinic/Center
  • Greenville, OH
  • NPI 1750106522
  NPD
• Family Health Services of Darke County, Inc.

  • Federally Qualified Health Center (FQHC)
  • Greenville, OH
  • NPI 1013361583
  NPD (past)

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

{
    "created_epoch": "1465430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719964800000",
    "number": "1982053047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5735 MEEKER RD",
            "city": "GREENVILLE",
            "state": "OH",
            "postal_code": "453311186",
            "telephone_number": "937-548-3806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 JACKSON ST STE C",
            "city": "GREENVILLE",
            "state": "OH",
            "postal_code": "453311396",
            "telephone_number": "937-547-2319"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5735 Meeker Rd",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "OH",
            "postal_code": "453311186",
            "country_code": "US",
            "telephone_number": "937-548-9680",
            "fax_number": "937-548-2087",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PETTY",
        "first_name": "CHRISTINA",
        "credential": "LISW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-09",
        "last_updated": "2024-07-03",
        "certification_date": "2024-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "S.1303319",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.2405473",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nisha Panday, ACNP
• Amy Parker, MD
• Jessica Christina Peters
• Veronica Peters, APRN-CNP
• Jonathan Pettitt
• Michelle Marie Phillips, LPCC
• Phoenix Medical Transport LLC
• Amber Plessinger-Williams
• Donald W Pohlman, MD
• Mary Elizabeth Pool, LPN

• Clinical Social Worker in Greenville, OH
• Providers in Greenville, 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 Jul 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.