Individual provider · Type 1 NPI
Taranesha Petty, LCSW
Clinical Social Worker · Sugarland, TX
Practice location
17022 Blue Mist Circle
Sugarland, TX 77498
Mailing address
17022 Blue Mist Cir
Sugar Land, TX 77498-4814
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor | 101YP2500X | 62963 (TX) |
| Social Worker | 104100000X | 62963 (TX) |
| Clinical Social Worker Primary | 1041C0700X | 62963 (TX) |
Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…
About NPI 1780119602
Taranesha Petty, LCSW's National Provider Identifier is 1780119602, issued on Apr 28, 2017. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Sugarland, TX. The record was last updated on May 5, 2025.