Active NPI
Brian C Pitts, LICSW
- Clinical Social Worker
- Weymouth, MA
National Provider Identifier
1255411641
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 1022646
- Practice address
- 169 Libbey Industrial Pkwy
2ND Floor
Weymouth, MA 02189-3101 - Phone
- (781) 682-1060
- Fax
- (781) 682-1061
- NPI assigned
- Oct 17, 2006
- Sex
- Male
- Sole proprietor
- No
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 | 1022646 | MA | Primary |
Addresses
Primary practice location
169 Libbey Industrial Pkwy
2ND Floor
Weymouth, MA 02189-3101
Mailing address
169 Libbey Industrial Pkwy
2ND Floor
Weymouth, MA 02189-3101
Phone (781) 682-1060
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P06963 | Other | MA | BCBS PROVIDER NUMBER |
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 |
|---|---|---|---|
| 1022646 | MA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Neurobehavioral Associates III, Inc | Clinical | Past | Accepting new patients |
| Mashpee Mental Health Center, Inc. | 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.
-
- Community/Behavioral Health Agency
- Mashpee, MA
- NPI 1790844843
-
- Geriatric Psychiatry Physician
- Weymouth, MA
- NPI 1205926946
Clinical
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161043200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1255411641",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "169 LIBBEY INDUSTRIAL PKWY",
"address_2": "2ND FLOOR",
"city": "WEYMOUTH",
"state": "MA",
"postal_code": "021893101",
"telephone_number": "781-682-1060",
"fax_number": "781-682-1061"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "169 LIBBEY INDUSTRIAL PKWY",
"address_2": "2ND FLOOR",
"city": "WEYMOUTH",
"state": "MA",
"postal_code": "021893101",
"telephone_number": "781-682-1060",
"fax_number": "781-682-1061"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PITTS",
"first_name": "BRIAN",
"middle_name": "C",
"credential": "LICSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-17",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MA",
"license": "1022646",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS PROVIDER NUMBER",
"identifier": "P06963",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Weymouth, MA
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.