Kara Theresa Marriott, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

15027 Issued in MN

Practice address

1620 Charlton Street #212
West St. Paul, MN 55118

Phone

(651) 402-3537

NPI assigned

Mar 11, 2008

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 names 1

• Ms. Kara Theresa Pittman Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1205193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1266796800000",
    "number": "1841460458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1620 CHARLTON STREET #212",
            "city": "WEST ST. PAUL",
            "state": "MN",
            "postal_code": "55118",
            "telephone_number": "651-402-3537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1620 CHARLTON STREET #212",
            "city": "WEST ST. PAUL",
            "state": "MN",
            "postal_code": "55118",
            "telephone_number": "651-402-3537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARRIOTT",
        "first_name": "KARA",
        "middle_name": "THERESA",
        "name_prefix": "Mrs.",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-03-11",
        "last_updated": "2010-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "15027",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KARA",
            "last_name": "PITTMAN",
            "middle_name": "THERESA",
            "prefix": "MS.",
            "credential": "LICSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Terah Manderfeld, CCC-SLP
• Teresa Catherine Markes, MA, LP
• Greg B Markeson, OD
• Whitney Jenelle Markson, DPT
• Marlu Health LLC
• Courtney Elizabeth Mathias
• Edward Joseph McEllistrem
• Kelsi McEnaney, DDS
• Meghan McKusky, MS CCC-SLP
• Jessica Rose McRae

• Clinical Social Worker in West St Paul, MN
• Providers in West St Paul, MN by specialty
• Clinical Social Worker in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 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.