Jacqueline Anne Pittman, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW13197 Issued in FL

Practice address

Monarch Wellness, LLC
12264 Tamiami Trail East, Suite 202
Naples, FL 34113

Phone

(239) 231-3208

Fax

(239) 228-5965

NPI assigned

Apr 11, 2018

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1523404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523404800000",
    "number": "1285131680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3715 MAHOGANY BEND DR",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341146424",
            "telephone_number": "412-980-1431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "MONARCH WELLNESS, LLC",
            "address_2": "12264 TAMIAMI TRAIL EAST, SUITE 202",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "34113",
            "telephone_number": "239-231-3208",
            "fax_number": "239-228-5965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PITTMAN",
        "first_name": "JACQUELINE",
        "middle_name": "ANNE",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-04-11",
        "last_updated": "2018-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW13197",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dorothy Pirrone, DPT
• Mary Frances Pisano, PT
• Akaash Pisipati, DDS
• Liya Piskun
• Arlette Pita Pampin, D.M.D.
• Mark Pittman, R.PH.
• Abigail Pitts
• David A Pitts, M.D.
• Pixel and Play Pediatric Therapy LLC
• Ann M Placher, COTA/L

• Clinical Social Worker in Naples, FL
• Providers in Naples, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2018; 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.