Mrs Dejuana Lachelle Danzell Petteway, LCSW, ASCW, ACHP-SW - Clinical Social Worker in Shreveport, LA

Mrs Dejuana Lachelle Danzell Petteway, LCSW, ASCW, ACHP-SW is a Social Worker - Clinical based in Shreveport, Louisiana. Mrs Dejuana Lachelle Danzell Petteway is licensed to practice in Louisiana (license number 9900) and her current practice location is 510 E. Stoner Avenue, Shreveport, Louisiana. She can be reached at her office (for appointments etc.) via phone at (318) 221-8411.

NPI number for Mrs Dejuana Lachelle Danzell Petteway is 1740489301 and her current mailing address is 510 E Stoner Ave, Shreveport, Louisiana. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1740489301.

Contact Information

Mrs Dejuana Lachelle Danzell Petteway, LCSW, ASCW, ACHP-SW
510 E. Stoner Avenue,
Shreveport, LA 71101-4295
(318) 221-8411
Not Available



Healthcare Provider's Profile

Full NameMrs Dejuana Lachelle Danzell Petteway
GenderFemale
SpecialitySocial Worker - Clinical
Location510 E. Stoner Avenue, Shreveport, Louisiana
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1740489301
  • Provider Enumeration Date: 07/13/2007
  • Last Update Date: 03/19/2021

Medical Identifiers

Medical identifiers for Mrs Dejuana Lachelle Danzell Petteway such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1740489301NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1041C0700XSocial Worker - Clinical 9900 (Louisiana)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Dejuana Lachelle Danzell Petteway is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mrs Dejuana Lachelle Danzell Petteway, LCSW, ASCW, ACHP-SW
510 E Stoner Ave,
Shreveport, LA 71101-4243

Ph: (318) 990-5781
Mrs Dejuana Lachelle Danzell Petteway, LCSW, ASCW, ACHP-SW
510 E. Stoner Avenue,
Shreveport, LA 71101-4295

Ph: (318) 221-8411

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› Verified 7 days ago


Social Worker in Shreveport, LA

Karl Reichter, LICSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 510 E Stoner Ave, Shreveport, LA 71101
Phone: 319-990-4401    
Mrs. Chelsey Vincent, LMSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 856 Texas Ave, Shreveport, LA 71101
Phone: 318-429-6938    
Kemeco Taylor-small, LCSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 510 E Stoner Ave, Shreveport, LA 71101
Phone: 318-221-8411    Fax: 318-990-5599
Mr. Dock Voorhies, SOCIAL WORKER
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 510 E Stoner Ave, Shreveport, LA 71101
Phone: 318-424-6040    Fax: 318-424-6121
Danielle Bailey, LCSW
Clinical Social Worker
Medicare: Medicare Enrolled
Practice Location: 4111 Pines Rd Unit 65, Shreveport, LA 71119
Phone: 318-613-0147    
Charles Lee, LCSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 6654 Gilbert Pl, Shreveport, LA 71106
Phone: 318-865-4360    
Mr. Andrew Wilson,
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 6007 Financial Plz Ste 213, Shreveport, LA 71129
Phone: 318-458-5158    Fax: 318-220-8108

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