Tyrus C Petty Jr., LSCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

1534 Issued in KS

Practice address

5847 SW 29TH St
Topeka, KS 66614-2462

Phone

(785) 273-7292

Fax

(785) 273-1201

NPI assigned

May 3, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in KS

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, 1991

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": "1146614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1427016880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5847 SW 29TH ST",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666142462",
            "telephone_number": "785-273-7292",
            "fax_number": "785-273-1201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5847 SW 29TH ST",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666142462",
            "telephone_number": "785-273-7292",
            "fax_number": "785-273-1201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETTY",
        "first_name": "TYRUS",
        "middle_name": "C",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "LSCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-03",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KS",
            "license": "1534",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda R Petrik, LCPC
• Edwin L Petrik, MD
• Paul Pierre Pettavel, M.D.
• Dennis Craig Petterson, M.D.
• Kayla Petty, PHARMD.
• Victor Russell Petty III
• Gianfranco Pezzino, MD
• Patrick L. Pfannenstiel, PT
• Rebecca Pfannenstiel
• Braeden Jon Pfau, ED.S.

• Clinical Social Worker in Topeka, KS
• Providers in Topeka, KS by specialty
• Clinical Social Worker in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.