Individual provider Active NPI

Lethea Kate Pittman, LCSW, LCAS

  • Clinical Social Worker
  • Raleigh, NC
National Provider Identifier
1417372491
Registry record updated Sep 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C012947 Issued in NC
Practice address
3117 Poplarwood CT Ste 115
Raleigh, NC 27604-1040
Phone
(919) 787-6131
Fax
(919) 571-2932
NPI assigned
Feb 27, 2014
Last updated
Sep 20, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2024

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 LCAS-22606 NC
Clinical Social Worker 1041C0700X C012947 NC Primary

Addresses

Primary practice location

3117 Poplarwood CT Ste 115
Raleigh, NC 27604-1040

Mailing address

17 Briar Cir Apt C
Fayetteville, NC 28306-4951

Other practice location 1

8376 Six Forks Rd Ste 104
Raleigh, NC 27615-5095
Phone (919) 900-7438

Other practice location 2

600 Plaza Blvd
Kinston, NC 28501-1617
Phone (252) 520-6740

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220907002999 NC Practitioner - Clinical Social Worker 9032593215 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
98.23 of 100Reported as group
Quality
88.23
Improvement activities
40
Cost
76.47

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCAS-22606NCMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Step Up Care of North Carolina PC Clinical CurrentSince Jul 15, 2023 Accepting new patients
Fernandez Community Center, LLC Addiction (Substance Use Disorder) PastSince Jul 25, 2016 Accepting new patients

Locations

27 Randolph Rd
Howell, NJ 07731
Phone (972) 677-7951

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1393459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726790400000",
    "number": "1417372491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 BRIAR CIR APT C",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283064951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3117 POPLARWOOD CT STE 115",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276041040",
            "telephone_number": "919-787-6131",
            "fax_number": "919-571-2932"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8376 Six Forks Rd Ste 104",
            "address_purpose": "LOCATION",
            "city": "Raleigh",
            "state": "NC",
            "postal_code": "276155095",
            "country_code": "US",
            "telephone_number": "919-900-7438",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "600 Plaza Blvd",
            "address_purpose": "LOCATION",
            "city": "Kinston",
            "state": "NC",
            "postal_code": "285011617",
            "country_code": "US",
            "telephone_number": "252-520-6740",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PITTMAN",
        "first_name": "LETHEA",
        "middle_name": "KATE",
        "credential": "LCSW, LCAS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-02-27",
        "last_updated": "2024-09-20",
        "certification_date": "2024-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "LCAS-22606",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C012947",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

Verify at the official NPI Registry.