Taranesha Petty, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

62963 Issued in TX

Practice address

17022 Blue Mist Circle
Sugarland, TX 77498

Phone

(318) 751-3656

NPI assigned

Apr 28, 2017

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Bee Well Solutions

  • Clinical Social Worker
  • Sheridan, WY
  • NPI 1750113122
  NPD Authorized official
• Aoc Outreach Services

  • Case Management Agency
  • Houston, TX
  • NPI 1831748029

  Clinical

  NPD (past)

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

{
    "created_epoch": "1493337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746403200000",
    "number": "1780119602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17022 BLUE MIST CIR",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774984814",
            "telephone_number": "318-751-3656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17022 BLUE MIST CIRCLE",
            "city": "SUGARLAND",
            "state": "TX",
            "postal_code": "77498",
            "telephone_number": "318-751-3656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETTY",
        "first_name": "TARANESHA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-04-28",
        "last_updated": "2025-05-05",
        "certification_date": "2025-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "62963",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "TX",
            "license": "62963",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "62963",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vanessa Obaseki
• Emily Victoria Orr, MD
• Pacific Surgical LC
• Nimra Pasha, MD
• Madhura V Patel, M.D.
• Sandra Kim Phan, PHARM.D
• Daniel Phillips, MD
• Primary Health Network of South Texas
• Monica Renee Ramos-Richey, RBT
• RCMH, LLC

• Clinical Social Worker in Sugarland, TX
• Providers in Sugarland, 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 May 5, 2025; 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.