Christy Lynae Pitol, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

104.012038 Issued in IL

Practice address

2829 83Rd St
Darien, IL 60561-5612

Phone

(312) 369-9908

NPI assigned

Jun 21, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

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 1

Specialty

Clinical Social Worker

Education

Other, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

David Goodman PHD Psychologist LTDGroup PAC ID 7416909056, 13 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Networks

• IL HMO C-SNP
• devoted network organization-1baeae7e-6b6f-49f9-a562-1b2d2e55c806

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.

• David Goodman, PH.D. Psychologist LTD.

  • Clinical Psychologist
  • St Charles, IL
  • NPI 1659485878

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Revive Psychological Services P.C.

  • Clinical Psychologist
  • Woodridge, IL
  • NPI 1407146376

  Single Specialty

  NPD

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

{
    "created_epoch": "1655769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655769600000",
    "number": "1013648955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2829 83RD ST",
            "city": "DARIEN",
            "state": "IL",
            "postal_code": "605615612",
            "telephone_number": "312-369-9908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2829 83RD ST",
            "city": "DARIEN",
            "state": "IL",
            "postal_code": "605615612",
            "telephone_number": "312-369-9908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PITOL",
        "first_name": "CHRISTY",
        "middle_name": "LYNAE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-21",
        "last_updated": "2022-06-21",
        "certification_date": "2022-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "104.012038",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Beder Pharaon, M.D.
• Nicole C Phillips, PT
• Phlebotomist, Inc
• Yasmine Alexia Pineda
• Wendy Pippenger, DPT
• Joshua O Podjasek, M.D.
• Riley Polasek
• David Poon
• Stephanie Elizabeth Popp, LCPC
• Rachel Portogallo

• Clinical Social Worker in Darien, IL
• Providers in Darien, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.