Demo Pittas, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

072648 Issued in NY

Practice address

937 Fulton St
Brooklyn, NY 11238-2347

Phone

(718) 636-0015

Fax

(718) 638-5167

NPI assigned

Jul 30, 2008

Sex

Male

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)

Enrolled

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://api.qualifacts.org/api/fhir/liccnewyorkcity/r4/

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Long Island Consultation Center

  • Counselor
  • Elmhurst, NY
  • NPI 1356016703
  NPD (past)
• National Neighborhood Counseling Center Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Brooklyn, NY
  • NPI 1457352098
  NPD (past)

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

{
    "created_epoch": "1217376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1264032000000",
    "number": "1477719391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4028 67TH ST",
            "city": "WOODSIDE",
            "state": "NY",
            "postal_code": "113773777",
            "telephone_number": "718-938-1250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "937 FULTON ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112382347",
            "telephone_number": "718-636-0015",
            "fax_number": "718-638-5167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PITTAS",
        "first_name": "DEMO",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-07-30",
        "last_updated": "2010-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "072648",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allonta Pitt
• Marva Pitt
• Sharon Pitt
• Teadie Alicia Pitt, LPN
• Sonya Prema Pittalwala
• Pitter Patter Physical Therapy
• Natisha Pitter
• Basha Pitterman
• Breindel N Pitterman
• Sarah Pitterman, SPECIAL ED

• Clinical Social Worker in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2010; 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.