Susan Lyn Pizitz, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

3085953501 Issued in UT

Practice address

780 Guardsman Way
Salt Lake City, UT 84108-1374

Phone

(801) 581-0194

Fax

(801) 581-0193

NPI assigned

Jan 18, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Valley Behavioral Health Incorporated

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • West Valley City, UT
  • NPI 1932166980

  Clinical

  NPD (past)
• Valley Mental Health Incorporated

  • Child & Adolescent Psychiatry Physician
  • Salt Lake City, UT
  • NPI 1154387678

  Clinical

  NPD (past)

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

{
    "created_epoch": "1137542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1188432000000",
    "number": "1255311056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3444 W 4400 S",
            "city": "WEST VALLEY CITY",
            "state": "UT",
            "postal_code": "841195644",
            "telephone_number": "801-646-4710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "780 GUARDSMAN WAY",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841081374",
            "telephone_number": "801-581-0194",
            "fax_number": "801-581-0193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIZITZ",
        "first_name": "SUSAN",
        "middle_name": "LYN",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-18",
        "last_updated": "2007-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "3085953501",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DESERET MUTUAL",
            "identifier": "071736",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHAMPUS",
            "identifier": "942938348008",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "30859535000001",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INTERMTN. HEALTH CARE",
            "identifier": "107018468101",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alesha Pitts
• Jason McCord Pitts
• Rebecca Lynn Pitts, APRN
• Jerrica L Pitzen
• Maurisa Pitzer
• Aubrey Lynn Place, MD
• Judith L Plaisted, RN
• Elizabeth Ellen Plankenhorn
• Planned Parenthood (Planned Parenthood Salt Lake City)
• Planned Parenthood Association of Utah

• Clinical Social Worker in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Clinical Social Worker in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 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.