Individual provider Active NPI

Martha K Pitts, LISW

  • Clinical Social Worker
  • Stow, OH
National Provider Identifier
1144257353
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I0008482 Issued in OH
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

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
272596OtherOHBLUE CROSS
293665OtherOHMHN

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

LicenseStateTypeSpecialty
I0008482OHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Alfred E. Grzegorek, PH D, Inc. Past Accepting new patients
Psychological & Behavioral Consultants, LLC Clinical PastSince Mar 1, 2000 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.

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.

Verify at the official NPI Registry.