Mrs Erica Petree, LCSW is a
Social Worker - Clinical based in Johnson City, Tennessee. Mrs Erica Petree is licensed to practice in Tennessee (license number 7666) and her current practice location is
207 N Boone St Ste 102, Johnson City, Tennessee. She can be reached at her office (for appointments etc.) via phone at
(619) 839-9730.
NPI number for Mrs Erica Petree is 1275506255 and her current mailing address is 207 N Boone St Ste 102, Johnson City, Tennessee. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1275506255.
Healthcare Provider's Profile
| Full Name | Mrs Erica Petree |
|---|
| Gender | Female |
|---|
| Speciality | Social Worker - Clinical |
|---|
| Location | 207 N Boone St Ste 102, Johnson City, Tennessee |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1275506255
- Provider Enumeration Date: 02/09/2006
- Last Update Date: 02/20/2024
Medical Identifiers
Medical identifiers for Mrs Erica Petree such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1275506255 | NPI | - | NPPES |
| 091740301 | Medicaid | TX | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | 60460 (California) | Secondary |
| 104100000X | Social Worker | 41439 (Texas) | Secondary |
| 1041C0700X | Social Worker - Clinical | 7666 (Tennessee) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Erica Petree is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mrs Erica Petree, LCSW
207 N Boone St Ste 102,
Johnson City, TN 37604-5675
Ph: (619) 839-9730 | Mrs Erica Petree, LCSW
207 N Boone St Ste 102,
Johnson City, TN 37604-5675
Ph: (619) 839-9730 |
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