Active NPIIndividual providerSole proprietor

Kristin Pettus

Social Worker, Clinical in Pelham, Massachusetts

NPI Number1124923677
Practice location
18 Boyden RD, Pelham, MA 01002-9758
Fax
—
Last updated
October 13, 2026

Kristin Pettus is a Social Worker, Clinical based in Pelham, MA. Kristin Pettus practices in Pelham, MA. The NPI Number for Kristin Pettus is 1124923677 and holds a License No. LCSW224473 (MA). The current practice location address for Kristin Pettus is 18 Boyden RD, Pelham, MA 01002-9758 and can be reached out via phone at 413-531-5247.

Provider Profile Details

NPI Number
1124923677
Provider Name
Kristin Pettus
Provider Entity Type
Individual
Gender
Female
Address
18 Boyden RD, Pelham, MA 01002-9758
Phone Number
413-531-5247
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
Yes
Provider Enumeration Date
October 13, 2026
Last Update Date
October 13, 2026
Certification Date
October 13, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
18 Boyden RD
Pelham, MA 01002-9758
City
Pelham
Zip
01002-9758
Phone Number
413-531-5247
Pelham, MA 01002Get directions →

Provider Business Mailing Address Details

Address
18 Boyden RD
Pelham, MA 01002-9758
City
Pelham
State
MA
Zip
01002-9758
Phone Number
413-531-5247

License Information

License Number
LCSW224473
License State
MA
Taxonomy
Social Worker, Clinical · 1041C0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Kristin Pettus?

The NPI number of Kristin Pettus is 1124923677. It was assigned on October 13, 2026 and is currently active in the NPPES registry.

What is the specialty of Kristin Pettus?

Kristin Pettus is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in MA under license number LCSW224473.

Where does Kristin Pettus practice?

The practice location is 18 Boyden RD, Pelham, MA 01002-9758. The office can be reached at 413-531-5247 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1124923677 directly on the NPPES registry website.

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