Erica Petree, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

7666 Issued in TN

Practice address

207 N Boone St Ste 102
Johnson City, TN 37604-5675

Phone

(619) 839-9730

NPI assigned

Feb 9, 2006

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Rising Spirit LLC

  • Clinical Social Worker
  • Johnson City, TN
  • NPI 1780499905
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1139443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708387200000",
    "number": "1275506255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 N BOONE ST STE 102",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376045675",
            "telephone_number": "619-839-9730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 N BOONE ST STE 102",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376045675",
            "telephone_number": "619-839-9730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETREE",
        "first_name": "ERICA",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-02-09",
        "last_updated": "2024-02-20",
        "certification_date": "2024-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "60460",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "TX",
            "license": "41439",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "TN",
            "license": "7666",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "091740301",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pennie Dlayne Peters, RN
• Jennifer Ashley Peterson Taylor, PMHNP
• Janette R. Peterson, NP
• Steve Leroy Peterson, M.D.
• Tracey E Peterson, BSW
• Caitlen M Petschke, PA-C
• Elizabeth A Pettey, NP
• Thelia Jean Pettigrew, LPN
• Hannah Jo Pettit, PA-C
• Joshua Robert Pettit, PA

• Clinical Social Worker in Johnson City, TN
• Providers in Johnson City, TN by specialty
• Clinical Social Worker in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.