Teresa Joyce Bryan-Pettit, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

21739 Issued in TX

Practice address

2524 FM 691
Sherman, TX 75090-2357

Phone

(903) 893-6010

Fax

(903) 893-6004

NPI assigned

Jun 17, 2005

Last updated

Jan 24, 2013By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1118966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358985600000",
    "number": "1417952177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "292 JOHNSON RD",
            "city": "DENISON",
            "state": "TX",
            "postal_code": "750215824",
            "telephone_number": "903-821-6151",
            "fax_number": "903-893-6004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2524 FM 691",
            "city": "SHERMAN",
            "state": "TX",
            "postal_code": "750902357",
            "telephone_number": "903-893-6010",
            "fax_number": "903-893-6004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRYAN-PETTIT",
        "first_name": "TERESA",
        "middle_name": "JOYCE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-06-17",
        "last_updated": "2013-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "21739",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "063914801",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD NU",
            "identifier": "0032GZ",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kelli Brown
• Loribeth Brown, LPC
• Sarah Rose Brown
• Zoe Brown
• Ashley M. Brumm, M.D.
• Janice Fay Bryant, RN
• Mavis Anne Bryant, PHD
• Charles G Buckingham, MD
• Mark Brian Buckner, M.D.
• Ferdinand Buendia Sr., LMT, CMAT, BCTMB

• Clinical Social Worker in Sherman, TX
• Providers in Sherman, TX by specialty
• Clinical Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.