Taranesha Petty, LCSW is a
Social Worker - Clinical based in Sugarland, Texas. Taranesha Petty is licensed to practice in Texas (license number 62963) and her current practice location is
17022 Blue Mist Circle, Sugarland, Texas. She can be reached at her office (for appointments etc.) via phone at
(318) 751-3656.
NPI number for Taranesha Petty is 1780119602 and her current mailing address is 17022 Blue Mist Cir, Sugar Land, Texas. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1780119602.
Healthcare Provider's Profile
| Full Name | Taranesha Petty |
|---|
| Gender | Female |
|---|
| Speciality | Social Worker - Clinical |
|---|
| Location | 17022 Blue Mist Circle, Sugarland, Texas |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1780119602
- Provider Enumeration Date: 04/28/2017
- Last Update Date: 05/05/2025
Medical Identifiers
Medical identifiers for Taranesha Petty such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1780119602 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YP2500X | Counselor - Professional | 62963 (Texas) | Secondary |
| 104100000X | Social Worker | 62963 (Texas) | Secondary |
| 1041C0700X | Social Worker - Clinical | 62963 (Texas) | 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. Taranesha Petty 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 |
|---|
Taranesha Petty, LCSW
17022 Blue Mist Cir,
Sugar Land, TX 77498-4814
Ph: (318) 751-3656 | Taranesha Petty, LCSW
17022 Blue Mist Circle,
Sugarland, TX 77498
Ph: (318) 751-3656 |
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