Active NPI
Emily Pitt, LICSW
- Clinical Social Worker
- Washington, DC
National Provider Identifier
1679642268
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LC50079294
- Practice address
- 502 Kennedy St NW Ste 2-a
Washington, DC 20011-3136 - Phone
- (202) 656-6307
- NPI assigned
- Nov 7, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 111395 | MA | |
| Clinical Social Worker | 1041C0700X | 0904009879 | VA | |
| Clinical Social Worker | 1041C0700X | LC50079294 | DC | Primary |
| Clinical Social Worker | 1041C0700X | 17608 | MD | |
| Clinical Social Worker | 1041C0700X | 111395 | MA |
Addresses
Primary practice location
502 Kennedy St NW Ste 2-a
Washington, DC 20011-3136
Mailing address
6827 4TH St NW Apt 306
Washington, DC 20012-1984
Phone (202) 805-3927
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | https://careepiceast.kp.org:14430/Interconnect-prodmam/wcf/epic.community.hie/xcpdrespondinggateways | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 111395 | MA | MD | Mental Health Counselor |
| LC50079294 | DC | MD | Clinical Social Worker |
| 0904009879 | VA | MD | Clinical Social Worker |
| 17608 | MD | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162857600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1636675200000",
"number": "1679642268",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6827 4TH ST NW APT 306",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200121984",
"telephone_number": "202-805-3927"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "502 KENNEDY ST NW STE 2-A",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200113136",
"telephone_number": "202-656-6307"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PITT",
"first_name": "EMILY",
"credential": "LICSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-07",
"last_updated": "2021-11-12",
"certification_date": "2021-11-12",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MA",
"license": "111395",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "VA",
"license": "0904009879",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "DC",
"license": "LC50079294",
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MD",
"license": "17608",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MA",
"license": "111395",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "https://careepiceast.kp.org:14430/Interconnect-prodmam/wcf/epic.community.hie/xcpdrespondinggateways",
"affiliation": "N",
"endpointDescription": "Carequality",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "C-CDA",
"address_1": "7 Haviland St",
"city": "Boston",
"state": "MA",
"country_code": "US",
"postal_code": "021152683",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.