Active NPI
Marcy T. Pitkin
- Clinical Social Worker
- Stuart, FL
National Provider Identifier
1215996020
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- SW2430
- Practice address
- 909 SE Central Pkwy
Suite 100
Stuart, FL 34994-3904 - Phone
- (772) 286-8093
- Fax
- (772) 286-8093
- NPI assigned
- Mar 21, 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 | SW2430 | FL | Primary |
Addresses
Primary practice location
909 SE Central Pkwy
Suite 100
Stuart, FL 34994-3904
Mailing address
1480 SE 13TH St
Stuart, FL 34996-5812
Phone (772) 286-8093
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215996020 | Other | NIPPES |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142899200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1274832000000",
"number": "1215996020",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1480 SE 13TH ST",
"city": "STUART",
"state": "FL",
"postal_code": "349965812",
"telephone_number": "772-286-8093",
"fax_number": "772-286-8093"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "909 SE CENTRAL PKWY",
"address_2": "SUITE 100",
"city": "STUART",
"state": "FL",
"postal_code": "349943904",
"telephone_number": "772-286-8093",
"fax_number": "772-286-8093"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PITKIN",
"first_name": "MARCY",
"middle_name": "T.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-03-21",
"last_updated": "2010-05-26",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "FL",
"license": "SW2430",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NIPPES",
"identifier": "1215996020",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Stuart, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.