Kristen Eileen Piscitelli, LCSWA

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

P021163 Issued in NC

Practice address

6302 Fairview Rd Ste 100
Charlotte, NC 28210-2227

Phone

(704) 584-9897

NPI assigned

Aug 13, 2024

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1723507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723507200000",
    "number": "1063243798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6302 FAIRVIEW RD STE 100",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282102227",
            "telephone_number": "704-584-9897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6302 FAIRVIEW RD STE 100",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282102227",
            "telephone_number": "704-584-9897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PISCITELLI",
        "first_name": "KRISTEN",
        "middle_name": "EILEEN",
        "credential": "LCSWA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-13",
        "last_updated": "2024-08-13",
        "certification_date": "2024-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P021163",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Bowen Pirtle
• Mason Pirtle, DDS
• Amber Pisani, CRNA
• Mary Ellen Pisano, PHARM.D.
• Olga Pisarskiy, MA, LPCA
• Eleanor Elizabeth Pitchford, MD
• Rhonda Pitcock
• Lynn Christine Pitson, MD
• Ban S Pitt, PT
• Damaris Edmonstone Pittman, LM, CPM

• Clinical Social Worker in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.