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Mr. Randall Berwin Pettit

Social Worker Clinical Social Worker

6700 N Oracle Rd Ste 505
Tucson , Arizona 85704-7736

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Image

Mr. Randall Berwin Pettit

Social Worker Clinical Social Worker

6700 N Oracle Rd Ste 505
Tucson , Arizona 85704-7736

(520) 791-0676

Write a Review Save Call

Mr. Randall Berwin Pettit

Social Worker Clinical Social Worker

6700 N Oracle Rd Ste 505
Tucson , Arizona 85704-7736

(520) 791-0676 Call

Write a Review Save

About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Social Worker
  • Clinical Social Worker

Languages spoken

  • English

Location

6700 N Oracle Rd Ste 505 Tucson , Arizona 85704-7736

First Address

  • Mr. Randall Berwin Pettit
  • 6700 N Oracle Rd Ste 505
  • Tucson, AZ
  • Zip : 85704-7736
  • Fax : (520) 791-0676
  • Phone : (520) 791-9974

Second Address

  • Mr. Randall Berwin Pettit
  • 6700 N Oracle Rd Ste 505
  • Tucson, AZ
  • Zip : 85704-7736
  • Fax : (520) 791-0676
  • Phone : (520) 791-9974

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FAQs


Where did Mr. Randall Berwin Pettit attend graduate school?

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Where did Mr. Randall Berwin Pettit do his residency?

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Where did Mr. Randall Berwin Pettit do his fellowship?

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Is Mr. Randall Berwin Pettit board certified?

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What type of doctor is Mr. Randall Berwin Pettit

Social Worker

In what state does Mr. Randall Berwin Pettit practice in?

Arizona

Where is Mr. Randall Berwin Pettit ’s practice located?

6700 N Oracle Rd Ste 505 , Tucson, Arizona, 85704-7736

What is Mr. Randall Berwin Pettit ’s gender?

Male

Is Mr. Randall Berwin Pettit a sole practitioner?

No

Is Mr. Randall Berwin Pettit accepting new patients?

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What languages does Mr. Randall Berwin Pettit speak?

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Does Mr. Randall Berwin Pettit accept insurance?

Yes, Mr. Randall Berwin Pettit accepts insurance

Does Mr. Randall Berwin Pettit offers telemedicine?

Mr. Randall Berwin Pettit has not indicated if he offers telemedicine

What is Mr. Randall Berwin Pettit ’s professional license number?

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What is Mr. Randall Berwin Pettit ’s NPI number?

1003241803

Does Mr. Randall Berwin Pettit have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
Y 104100000X Social Worker LMSW-13458 AZ
N 1041C0700X Clinical Social Worker 071208 NY

National Provider Identifier

NPI 1003241803
Provider Name Mr. Randall Berwin Pettit
First Address Tucson, AZ 85704-7736
Second Address Tucson, AZ 85704-7736
Gender M
NPI Entity type Individual
Is Sole Proprietor No
Is Organization Subpart N/A
Enumeration Date 11/09/2013
Last Update Date 11/09/2013

NPI Footnotes


What is the National Provider Identifier (NPI)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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