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

Tyree Pettway

Individual provider Case Manager/Care Coordinator · NPI 1154952463

Tyree Pettway is a Case Manager/Care Coordinator in Los Angeles, California. Practices as a sole proprietor. Registered with an NPI since 2020.

In the registry since
2020
Specialties on file
3

Practice location Address checks out

3850 Crenshaw Blvd
Los Angeles, CA 90008-1821
Phone: (323) 593-5300
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community Health Worker (primary) Taxonomy 172V00000X
Case Manager/Care Coordinator Taxonomy 171M00000X
Day Training/Habilitation Specialist Taxonomy 373H00000X

Record details

NPI number1154952463
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJanuary 27, 2020
Last updated in NPPESMay 22, 2025
Certification dateMay 22, 2025

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