Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Tyrus C Petty Jr., LSCSW

Individual provider Clinical Social Worker · NPI 1427016880

Mr. Tyrus C Petty Jr., LSCSW is a Clinical Social Worker in Topeka, Kansas. Qualified in 1991, 35 years ago. Accepts Medicare assignment and offers telehealth. Licensed in Kansas.

Years since qualifying
35
Licensed in
KS
In the registry since
2006
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Practice location Address checks out

5847 SW 29th St
Topeka, KS 66614-2462
Phone: (785) 273-7292
Fax: (785) 273-1201
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 1534 (KS)

Record details

NPI number1427016880
Entity typeIndividual (Type 1)
GenderMale
Credentials LSCSW
Sole proprietorNo
NPI enumeratedMay 3, 2006
Last updated in NPPESJuly 13, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 1991 (35 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Topeka