Active NPI
Pivot Inc.
- Clinical Social Worker
- Baltimore, MD
National Provider Identifier
1508467069
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- PIVOT INC.
- Practice address
- 1725 E Baltimore St
Baltimore, MD 21231-1508 - Phone
- (302) 492-6329
- NPI assigned
- Nov 2, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jillian Spence Parente White, LCSW-C
- Title
- Mental Health Therapist
- Phone
- (302) 392-6329
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
1725 E Baltimore St
Baltimore, MD 21231-1508
Mailing address
6611 Bonnie Ridge Dr Apt 201
Baltimore, MD 21209-1982
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 778168700 | Medicaid | MD |
National Provider Directory
National Provider DirectoryLocations
1725 E Baltimore St
Baltimore, MD 21231
Phone (302) 492-6329
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Social Worker
- Columbia, MD
- NPI 1770016891
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1604275200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1604275200000",
"number": "1508467069",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6611 BONNIE RIDGE DR APT 201",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212091982"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1725 E BALTIMORE ST",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212311508",
"telephone_number": "302-492-6329"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PIVOT INC.",
"organizational_subpart": "NO",
"enumeration_date": "2020-11-02",
"last_updated": "2020-11-02",
"certification_date": "2020-11-02",
"status": "A",
"authorized_official_last_name": "PARENTE WHITE",
"authorized_official_first_name": "JILLIAN",
"authorized_official_middle_name": "SPENCE",
"authorized_official_title_or_position": "MENTAL HEALTH THERAPIST",
"authorized_official_telephone_number": "302-392-6329",
"authorized_official_credential": "LCSW-C"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "778168700",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.