Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

MS. Tamitra Sherell Pannell

Individual provider Clinical Social Worker · NPI 1528883824

MS. Tamitra Sherell Pannell is a Clinical Social Worker in Fort Worth, Texas. Qualified in 2003, 23 years ago. Practices as a sole proprietor and works from 3 locations. Licensed in New Hampshire and Texas.

Years since qualifying
23
Licensed in
NH, TX
In the registry since
2024
Specialties on file
2
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Practice location Address checks out

2053 Matador Ranch Rd
Fort Worth, TX 76134-4178
Phone: (682) 888-7990
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 1045 Elm St Ste 204, Manchester, NH 03101-1844 — (888) 500-2067
  • 400 N Beach St Ste 104, Fort Worth, TX 76111-7070 — (817) 831-1750

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence EL33456 (NH)
Social Worker Taxonomy 104100000X · Licence 52163 (TX)

Record details

NPI number1528883824
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedNovember 21, 2024
Last updated in NPPESMarch 20, 2026
Certification dateMarch 20, 2026

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2003 (23 years in practice)
Accepts Medicare assignment Not indicated

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