Kimberly Marie Pittard, LMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

113382 Issued in TX

Practice address

3906 Figure Four Lake LN
Richmond, TX 77406-8084

Phone

(832) 618-2395

Fax

(281) 605-5779

NPI assigned

Oct 7, 2020

Last updated

Jun 16, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

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": "1602028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718496000000",
    "number": "1114524584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3906 FIGURE FOUR LAKE LN",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774068084",
            "telephone_number": "832-618-2395",
            "fax_number": "281-605-5779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3906 FIGURE FOUR LAKE LN",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774068084",
            "telephone_number": "832-618-2395",
            "fax_number": "281-605-5779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PITTARD",
        "first_name": "KIMBERLY",
        "middle_name": "MARIE",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-07",
        "last_updated": "2024-06-16",
        "certification_date": "2024-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "TX",
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "TX",
            "license": "113382",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Social Worker in Richmond, TX
• Providers in Richmond, TX by specialty
• Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 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.