Individual provider Active NPI

Sherylyn Hiatt Pitt, LCSW LCAS

  • Clinical Social Worker
  • Garner, NC
National Provider Identifier
1366749426
Registry record updated Feb 24, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C005993 Issued in NC
Practice address
2011 Ford Gates Dr
Garner, NC 27529-3765
Phone
(919) 749-3646
NPI assigned
Feb 24, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 24, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 1153 NC
Clinical Social Worker 1041C0700X C005993 NC Primary

Addresses

Primary practice location

2011 Ford Gates Dr
Garner, NC 27529-3765

Mailing address

2664 Timber Dr
Suite 328
Garner, NC 27529-2571
Phone (919) 749-3646

Other names 1

  • Ms. Sheryl Hiatt Pitt Other name

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

LicenseStateTypeSpecialty
C005993NCMDClinical Social Worker
1153NCMDAthletic Trainer

NPI Registry JSON

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

{
    "created_epoch": "1298505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1298505600000",
    "number": "1366749426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2664 TIMBER DR",
            "address_2": "SUITE 328",
            "city": "GARNER",
            "state": "NC",
            "postal_code": "275292571",
            "telephone_number": "919-749-3646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2011 FORD GATES DR",
            "city": "GARNER",
            "state": "NC",
            "postal_code": "275293765",
            "telephone_number": "919-749-3646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PITT",
        "first_name": "SHERYLYN",
        "middle_name": "HIATT",
        "name_prefix": "Ms.",
        "credential": "LCSW LCAS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-02-24",
        "last_updated": "2011-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "1153",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C005993",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHERYL",
            "last_name": "PITT",
            "middle_name": "HIATT",
            "prefix": "MS.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Garner, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 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.