Rebecca K Mayo-Pitts, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0904005168 Issued in VA

Practice address

4064 James Madison Hwy
Fork Union, VA 23055

Phone

(434) 825-8069

NPI assigned

Oct 19, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in VA

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

Specialty

Clinical Social Worker

Education

Other, 1995

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590624000000",
    "number": "1487736807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1658 RIVANNA WOODS DR",
            "city": "FORK UNION",
            "state": "VA",
            "postal_code": "230552129",
            "telephone_number": "434-825-8069",
            "fax_number": "434-842-1110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4064 JAMES MADISON HWY",
            "city": "FORK UNION",
            "state": "VA",
            "postal_code": "23055",
            "telephone_number": "434-825-8069"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "327 W 21st St",
            "address_2": "SUITE 205",
            "address_purpose": "LOCATION",
            "city": "Norfolk",
            "state": "VA",
            "postal_code": "235172130",
            "country_code": "US",
            "telephone_number": "757-622-9852 x49",
            "fax_number": "757-622-4033",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "33 Rebecca Dr",
            "address_purpose": "LOCATION",
            "city": "Palmyra",
            "state": "VA",
            "postal_code": "229636242",
            "country_code": "US",
            "telephone_number": "434-825-8065",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAYO-PITTS",
        "first_name": "REBECCA",
        "middle_name": "K",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-19",
        "last_updated": "2020-05-28",
        "certification_date": "2020-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904005168",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008939489",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Fork Union SNF Operations LLC
• Jamera DDS PC & Associates
• Karlise in-Home Care, LLC
• Randolph Ewing Lanford, MD
• Linda Staiger MD PC
• Catherine Munroe, B.SC.M.A.CCC SLP
• Jacob Payne
• Ruxton Health Care X, LLC
• Linda F. Staiger, M.D.
• Richard Stephen Taddei, ATC

• All providers in Fork Union, VA
• Clinical Social Worker in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.