Active NPI
Kimberly Pitney
- Clinical Social Worker
- Amarillo, TX
National Provider Identifier
1366211195
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 61669
- Practice address
- 1101 S Jackson St Apt 20
Amarillo, TX 79101-4164 - Phone
- (806) 673-0850
- NPI assigned
- Dec 20, 2023
- Sex
- Female
- Sole proprietor
- Yes
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 | 61669 | TX | Primary |
Addresses
Primary practice location
1101 S Jackson St Apt 20
Amarillo, TX 79101-4164
Mailing address
4100 S Lipscomb St
Amarillo, TX 79110-1221
Other practice location 1
2417 Hobbs Rd Ste 105
Amarillo, TX 79109-1533
Phone (806) 673-0850
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 61669 | TX | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1703030400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1703030400000",
"number": "1366211195",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4100 S LIPSCOMB ST",
"city": "AMARILLO",
"state": "TX",
"postal_code": "791101221"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1101 S JACKSON ST APT 20",
"city": "AMARILLO",
"state": "TX",
"postal_code": "791014164",
"telephone_number": "806-673-0850"
}
],
"practiceLocations": [
{
"address_1": "2417 Hobbs Rd Ste 105",
"address_purpose": "LOCATION",
"city": "Amarillo",
"state": "TX",
"postal_code": "791091533",
"country_code": "US",
"telephone_number": "806-673-0850",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PITNEY",
"first_name": "KIMBERLY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-12-20",
"last_updated": "2023-12-20",
"certification_date": "2023-12-20",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "TX",
"license": "61669",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Amarillo, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 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.