CHRISTINA PETTY (LISW) – Clinical Social Worker, NPI 1982053047

CHRISTINA PETTY (LISW) is a healthcare provider. based in Delphos, Ohio. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LISW. They hold a License No. S.1303319 (OH). The NPI Number for CHRISTINA PETTY (LISW) is 1982053047

Main info

Female
8 Years Of Experience
Accepts Medicare Assignment
Name
CHRISTINA PETTY (LISW)
NPI
1982053047
Phone
(800) 532-7239
Address
10100 ELIDA RD
Enumeration Date
9 June 2016
Last Update Date
3 July 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9375489680
Graduation Year
2018 (8 years ago)
PAC ID
8527504034
Group Practice PAC ID
5698762235
Professional Enrollment ID
I20240720000282
Address ID
OH453311180GR5735XRDXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience51
Completeness75
Years active:9State licenses:2Digital endpointsOther names

2,650 CLINICAL SOCIAL WORKER in OH

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Provider Addresses for CHRISTINA PETTY (LISW)

  • Elida Road, Delphos, Allen County, Ohio, 45833, United States

    DELPHOS, OH 458339056

    Phone: (800) 532-7239

    Type: Mailing

  • 1065, Fairington Drive, Sidney, Shelby County, Ohio, 45365, United States

    SIDNEY, OH 453658130

    Phone: (937) 497-7239

    Type: Location

  • 1101 JACKSON ST STE C

    GREENVILLE, OH 453311396

    Phone: (937) 547-2319

    Type: Location

  • 5735 Meeker Rd

    Greenville, OH 453311186

    Phone: (937) 548-9680

    Fax: (937) 548-2087

    Type: Location

  • 5735 MEEKER RD

    GREENVILLE, OH 453311186

    Phone: (937) 548-3806

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-07-20

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240720000282IClinical Social WorkerOHTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 45833)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5698762235View full group profile
NameSpecialtyState
Family PracticeOH
-OH
Nurse PractitionerOH
Nurse PractitionerIN
Nurse PractitionerOH
Nurse PractitionerOH
Physician AssistantOH
Family PracticeOH
Nurse PractitionerOH
Family PracticeOH

Reviews

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Frequently asked questions

Does CHRISTINA PETTY (LISW) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — CHRISTINA PETTY (LISW) uses 1982053047.
Does CMS list CHRISTINA PETTY (LISW) as active?
Yes — CHRISTINA PETTY (LISW) is active in the NPI listing used on this page.
What is CHRISTINA PETTY (LISW)'s specialty?
The listing groups CHRISTINA PETTY (LISW) with Clinical Social Worker. Clinical services aligned with this taxonomy classification.
Where is CHRISTINA PETTY (LISW) based?
CHRISTINA PETTY (LISW) is tied to Delphos, Ohio in the data we show; additional addresses may exist on the full record.
How many locations tie to this NPI?
5 practice locations appear in the available data.

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