Stelleda H Pitcock, LSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

0903000213 Issued in VA

Practice address

209 W Criser Rd
Front Royal, VA 22630-2360

Phone

(540) 635-4804

Fax

(540) 635-3080

NPI assigned

May 16, 2011

Last updated

May 16, 2011By 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

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.

• Northwestern Community Services Board

  • Non-emergency Medical Transport (VAN)
  • Front Royal, VA
  • NPI 1194249748
  NPD (past)
• Northwestern Community Services Board

  • Community/Behavioral Health Agency
  • Front Royal, VA
  • NPI 1215930573

  Social Worker

  NPD (past)

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

{
    "created_epoch": "1305504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1305504000000",
    "number": "1316230998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 W CRISER RD",
            "city": "FRONT ROYAL",
            "state": "VA",
            "postal_code": "226302360",
            "telephone_number": "540-635-4804",
            "fax_number": "540-635-3080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 W CRISER RD",
            "city": "FRONT ROYAL",
            "state": "VA",
            "postal_code": "226302360",
            "telephone_number": "540-635-4804",
            "fax_number": "540-635-3080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PITCOCK",
        "first_name": "STELLEDA",
        "middle_name": "H",
        "credential": "LSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-05-16",
        "last_updated": "2011-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "VA",
            "license": "0903000213",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Craig Hudgins Phillips, MD
• Holli Phillips
• Physical Medicine Associates, LTD (National Spine and Pain Centers)
• Mark R Pierce, M.D
• Pinnacle Treatment Centers VA-I, LLC (Front Royal Treatment Center)
• Janet Victoria Poe, RN
• Silvia Portillo Brooks, LPC, LSATP
• Rebecca L Potterton
• Judith Anne Powell, LCSW
• Mary Presley

• Social Worker in Front Royal, VA
• Providers in Front Royal, VA by specialty
• Social Worker in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2011; 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.