Acquanita Pettis, LCSW, LISW-CP
NPI 1508628033ActiveIndividual· Psychologist, Clinical· Rock Hill, SC
Psychologist, Clinical (LCSW, LISW-CP) in Rock Hill, South Carolina, licensed in SC, with an NPI issued in January 2024.
Overview
| NPI | 1508628033 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LCSW, LISW-CP |
| Sole proprietor | No |
| NPI issued | Jan 30, 2024 |
| Last updated in NPPES | Jan 30, 2024 |
| Certified by provider | Jan 29, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist, Clinical Primary | 103TC0700X | 16505 | SC |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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