Individual provider Active NPI

Meta Lashon Petty, LCSW

  • Clinical Social Worker
  • Tampa, FL
National Provider Identifier
1801377189
Registry record updated Nov 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW15280 Issued in FL
Practice address
14924 Casey Rd Unit 3B
Tampa, FL 33624-2317
Phone
(813) 492-9241
NPI assigned
Aug 24, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X SW15280 FL Primary

Addresses

Primary practice location

14924 Casey Rd Unit 3B
Tampa, FL 33624-2317

Mailing address

14924 Casey Rd Unit 3B
Tampa, FL 33624-2317
Phone (813) 492-9241

Other identifiers 1

IdentifierTypeStateIssuer
SW15280OtherFLFLORIDA DEPARTMENT OF HEALTH

Other names 1

  • Meta Lashon Petty Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, CA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20181212000733 FL Practitioner - Clinical Social Worker 1658615018 Reassigns benefits to 2 organizations
I20240301003687 CA Practitioner - Clinical Social Worker 1658615018 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Grow Healthcare Group PAGroup PAC ID 3476961368, 1,045 clinicians

Practice addresses (Care Compare)

66 E Flagler St
Miami, FL 33130-1807
Phone (786) 244-7711

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Blue Moon Senior Counseling Clinical CurrentSince Aug 20, 2018 Accepting new patients
Soultenders Psychological Services, Inc. Clinical CurrentSince Jul 1, 2026 Accepting new patients
Soultenders, Inc. CurrentSince May 16, 2025 Accepting new patients
Grow Healthcare Group PC Clinical CurrentSince Jan 31, 2024 Accepting new patients
Tampa Bay Center for Psychological Health PastSince Nov 24, 2019 Accepting new patients
Journey Counseling and Psyhological Services, LLC Past Accepting new patients

Locations

41 E Foothill Blvd
Ste 102
Arcadia, CA 91006
Phone (626) 701-4249

151 N Kraemer Blvd
Ste 100
Placentia, CA 92870
Phone (714) 577-2271

99 Almaden Blvd
Ste 600
San Jose, CA 95113
Phone (408) 402-4385

2525 Cherry Ave
Ste 350
Signal Hill, CA 90755
Phone (562) 261-2964

2057 Edgewater Dr
Clearwater, FL 33755
Phone (727) 205-7077

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

10204 Bode St
Ste B
Plainfield, IL 60585
Phone (630) 229-6462

Networks

  • Freedom Health HMO Network

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1535068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574208000000",
    "number": "1801377189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14924 CASEY RD UNIT 3B",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336242317",
            "telephone_number": "813-492-9241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14924 CASEY RD UNIT 3B",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336242317",
            "telephone_number": "813-492-9241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETTY",
        "first_name": "META",
        "middle_name": "LASHON",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-24",
        "last_updated": "2019-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW15280",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA DEPARTMENT OF HEALTH",
            "identifier": "SW15280",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "META",
            "last_name": "PETTY",
            "middle_name": "LASHON",
            "credential": "META L. PETTY, LCSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.