Amy Buchanan Pitts, LCSW
Individual provider Active NPI Clinical Social Worker · Apalachicola, FL
NPI 1134554868 · NPPES record last updated Sep 12, 2013
Key facts
- NPI
- 1134554868
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- SW11497 (FL)
- Practice address
- 300 Tilton Road
Apalachicola, FL 32320 - Phone
- (850) 323-0212
- NPI assigned
- Sep 12, 2013
- Sex
- Female
- Sole proprietor
- Yes
Medicare Care Compare profile
- Specialty
- Clinical Social Worker
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
141 Kaelyn LN
Port St Joe, FL 32456-6180
Phone (850) 323-0212
4419 Tram Rd
Panama City, FL 32404-2559
Phone (850) 323-0212
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20131015000756 | FL | Practitioner - Clinical Social Worker | 5991939571 | Practice locations: Panama City, FL; Port St Joe, FL |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SW11497 | FL | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | SW11497 | FL | Yes |
Addresses
Primary practice location
300 Tilton Road
Apalachicola, FL 32320
Mailing address
PO Box 566
Apalachicola, FL 32329-0566
Phone (850) 323-0212
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All providers in Apalachicola, FL · Clinical Social Worker in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 12, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.