MEDICARE: MS. JANE ELIZABETH PETTIT LICSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	LC303178	DC
2	1041C0700X	Clinical Social Worker	111621	MA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	6972	OTHER	DC	BLUECROSS BLUESHIELD

General Provider Information

NPI Number	:	1295883809
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. JANE ELIZABETH PETTIT LICSW

Provider Business Mailing Address
First Line	:	4916 47TH ST NW
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20016-4006
Country	:	US
Telephone Number	:	202-237-9066
Fax Number	:	202-237-7068

Provider Business Practice Location Address
First Line	:	3000 CONNECTICUT AVENUE NW
Second Line	:	SUITE 304
City	:	WASHINGTON
State	:	DC
Zip	:	20008-2509
Country	:	US
Telephone Number	:	202-234-8101
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/08/2007
Last Update Date	:	05/31/2026

Similar Medicare Providers

1669445821 — DR. MIRIAM E BEADLE PH.D
Practice Location Address:

3000 CONNECTICUT AVE NW , SUITE #136
WASHINGTON, DC
20008-2509

Practice Phone: 202-536-5602
Practice Fax: 202-263-1168

1689637969 — DR. GEORGIA S. ROBERTSON L.P.C., L.C.P.C.
Practice Location Address:

3000 CONNECTICUT AVE NW , SUITE 306
WASHINGTON, DC
20008-2509

Practice Phone: 571-332-9648
Practice Fax:

1558315051 — DR. MARIA DEL CARMEN PUIG-CASAURANC PHD
Practice Location Address:

3000 CONNECTICUT AVE NW , SUITE 400B
WASHINGTON, DC
20008-2509

Practice Phone: 202-265-5522
Practice Fax:

1053367078 — GRACE CLAIRE RIDDELL L.I.C.S.W., L.C.S.W.
Practice Location Address:

3000 CONNECTICUT AVE NW , SUITE 137
WASHINGTON, DC
20008-2509

Practice Phone: 301-942-3237
Practice Fax: 301-942-2047

1689614380 — MRS. JOYCE L. SMITH MSW
Practice Location Address:

3000 CONNECTICUT AVE NW , SUITE 237
WASHINGTON, DC
20008-2509

Practice Phone: 202-966-7488
Practice Fax:

1598796849 — JON FREDERICKSON MSW
Practice Location Address:

3000 CONNECTICUT AVE NW , SUITE 400
WASHINGTON, DC
20008-2509

Practice Phone: 202-986-4575
Practice Fax: 202-333-3217

Directions to “ MS. JANE ELIZABETH PETTIT LICSW” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.