Kellie Pittenger, CSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

255280 Issued in KY

Practice address

5115 S 3Rd St FRNT
Louisville, KY 40214-2601

Phone

(502) 233-3030

NPI assigned

Aug 2, 2022

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

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

{
    "created_epoch": "1659398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659398400000",
    "number": "1407583214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2139 LEXINGTON RD UNIT 332",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402063086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5115 S 3RD ST FRNT",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402142601",
            "telephone_number": "502-233-3030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PITTENGER",
        "first_name": "KELLIE",
        "credential": "CSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-02",
        "last_updated": "2022-08-02",
        "certification_date": "2022-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "KY",
            "license": "255280",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher V. Pitcock, M.D.
• Whitney Pitman, APRN
• Kareen Pitmon
• Mikayla Kareen Pitmon
• Yiuka Pitt
• Cody Bruce Pittman, MSN, APRN. PMHNP-BC
• Gregory L Pittman, MD
• Christina Pitts
• Donald Cicero Pitts, LMFT
• Mary Jo Pitts, ARNP

• Social Worker in Louisville, KY
• Providers in Louisville, KY by specialty
• Social Worker in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2022; 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.