Andrea J Pittman, LCSW, RPT

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

2013028153 Issued in MO

Practice address

7001 North Locust Street Suite 203
Gladstone, MO 64118-7764

Phone

(816) 406-3350

NPI assigned

Aug 19, 2021

Last updated

Feb 6, 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 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Tri-County Mental Health Services, Inc.

  dba Beacon Mental Health

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Kansas City, MO
  • NPI 1629080965
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1629331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707177600000",
    "number": "1235805250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7001 N LOCUST ST STE 203",
            "city": "GLADSTONE",
            "state": "MO",
            "postal_code": "641182555",
            "telephone_number": "816-406-3350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7001 NORTH LOCUST STREET SUITE 203",
            "city": "GLADSTONE",
            "state": "MO",
            "postal_code": "641187764",
            "telephone_number": "816-406-3350"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "28 Westwoods Drive Ste 106",
            "address_purpose": "LOCATION",
            "city": "Liberty",
            "state": "MO",
            "postal_code": "640682531",
            "country_code": "US",
            "telephone_number": "816-406-3350",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PITTMAN",
        "first_name": "ANDREA",
        "middle_name": "J",
        "credential": "LCSW, RPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-19",
        "last_updated": "2024-02-06",
        "certification_date": "2024-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2013028153",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristie E Pfaff, MSW, LCSW, LSCSW
• Melanie Lee Phillips, AUD
• Sheila K Phillips, D.O.
• Becky Phung
• Hillary Rummel Pierce
• David Scott Platt, DDS
• Louis A. Pollina, DDS
• Zoe Popp
• Potens Wellness Clinic LLC
• Hailee Potts, SLP

• Clinical Social Worker in Gladstone, MO
• Providers in Gladstone, MO by specialty
• Clinical Social Worker in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.