Stephen P Pittman, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

35116 Issued in MN

Practice address

1350 Energy LN Ste 101
Saint Paul, MN 55108-5275

Phone

(651) 313-5162

NPI assigned

Sep 26, 2025

Last updated

Sep 26, 2025By the provider in NPPES

Sex

Male

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": "1758844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758844800000",
    "number": "1083587810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1350 ENERGY LN STE 101",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551085275",
            "telephone_number": "651-313-5162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1350 ENERGY LN STE 101",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551085275",
            "telephone_number": "651-313-5162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PITTMAN",
        "first_name": "STEPHEN",
        "middle_name": "P",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-09-26",
        "last_updated": "2025-09-26",
        "certification_date": "2025-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "35116",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Victoria Pittman, LM, CPM
• Channa Roxanne Pittman, RN
• Elizabeth Ann Pittman, MA CCC-SLP
• Gavin T Pittman, M.D.
• John Everett Pittman, PHARM.D.
• Siwadon Pitukweerakul, M.D.
• Dawn Pivec
• PJG Medical L.L.C.
• PL Dental SC
• Planned Parenthood Minnesota, North Dakota, South Dakota

• Clinical Social Worker in Saint Paul, MN
• Providers in Saint Paul, MN by specialty
• Clinical Social Worker in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2025; 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.