Provider Demographics
NPI:1013802057
Name:PETTIT, MARGRET ELIZABETH
Entity type:Individual
Prefix:
First Name:MARGRET
Middle Name:ELIZABETH
Last Name:PETTIT
Suffix:
Gender:F
Credentials:
Other - Prefix:MISS
Other - First Name:MAGGIE
Other - Middle Name:ELIZABETH
Other - Last Name:PETTIT
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LCSW
Mailing Address - Street 1:365 TALMADGE DR
Mailing Address - Street 2:
Mailing Address - City:ATHENS
Mailing Address - State:GA
Mailing Address - Zip Code:30606-2741
Mailing Address - Country:US
Mailing Address - Phone:828-228-6403
Mailing Address - Fax:
Practice Address - Street 1:365 TALMADGE DR
Practice Address - Street 2:
Practice Address - City:ATHENS
Practice Address - State:GA
Practice Address - Zip Code:30606-2741
Practice Address - Country:US
Practice Address - Phone:828-228-6403
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-10
Last Update Date:2025-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACSW0095161041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical