Active NPI
Martha K Pitts, LISW
- Clinical Social Worker
- Stow, OH
National Provider Identifier
1144257353
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- I0008482
- Practice address
- 4466 Darrow Road
Ste 4B
Stow, OH 44224-4338 - Phone
- (330) 688-6921
- Fax
- (330) 688-4470
- NPI assigned
- Jun 26, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | I0008482 | OH | Primary |
Addresses
Primary practice location
4466 Darrow Road
Ste 4B
Stow, OH 44224-4338
Mailing address
77 Atterbury Blvd
#308
Hudson, OH 44236-2819
Phone (216) 337-4510
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 272596 | Other | OH | BLUE CROSS |
| 293665 | Other | OH | MHN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| I0008482 | OH | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alfred E. Grzegorek, PH D, Inc. | Past | Accepting new patients | |
| Psychological & Behavioral Consultants, LLC | Clinical | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Psychologist
- Stow, OH
- NPI 1750548053
-
- Psychiatry Physician
- Beachwood, OH
- NPI 1811915713
Clinical
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151280000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1144257353",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "77 ATTERBURY BLVD",
"address_2": "#308",
"city": "HUDSON",
"state": "OH",
"postal_code": "442362819",
"telephone_number": "216-337-4510"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4466 DARROW ROAD",
"address_2": "STE 4B",
"city": "STOW",
"state": "OH",
"postal_code": "442244338",
"telephone_number": "330-688-6921",
"fax_number": "330-688-4470"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PITTS",
"first_name": "MARTHA",
"middle_name": "K",
"credential": "LISW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-06-26",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "OH",
"license": "I0008482",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "272596",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MHN",
"identifier": "293665",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Stow, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.