Kaycee M Pittman, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCSW-20885 Issued in AZ

Practice address

2717 N Steves Blvd Ste 11
Flagstaff, AZ 86004-3959

Phone

(928) 487-1213

NPI assigned

Jan 2, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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 and National Provider Directory roles.

• Quiet Sky Counseling Az LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Flagstaff, AZ
  • NPI 1770296980
  NPD Authorized official

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

{
    "created_epoch": "1672617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672617600000",
    "number": "1285347518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2717 N STEVES BLVD STE 11",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860043959",
            "telephone_number": "928-487-1213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2717 N STEVES BLVD STE 11",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860043959",
            "telephone_number": "928-487-1213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PITTMAN",
        "first_name": "KAYCEE",
        "middle_name": "M",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-02",
        "last_updated": "2023-01-02",
        "certification_date": "2023-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "AZ",
            "license": "LCSW-20885",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AZ",
            "license": "LCSW-20885",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stacy Lynn Pinkston, SLP
• Pinnacle Therapy Solutions, LLC
• Pirruccello Pathology PC
• Beverly Pishkur, P.T.
• Eric Robert Pitcher, P.T.
• Jami Pitts, PHARMD
• Jennifer Pizzi
• Brian Place
• Karen Anne Plager, PHD, RN, FNP-BC
• Cody Ray Plaisted, PHARM. D

• Clinical Social Worker in Flagstaff, AZ
• Providers in Flagstaff, AZ by specialty
• Clinical Social Worker in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2023; 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.