Kristalene Anne Pitts-Palmerton, LICSW, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

L13834 Issued in OR

Practice address

910 NW Naito Pkwy Apt I25
Portland, OR 97209-3741

Phone

(360) 259-4934

NPI assigned

Jan 20, 2010

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other names 1

• Kristalene A Stormer Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: kpittspalmerton136320@ghc.direct-ci.net

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

{
    "created_epoch": "1263945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712707200000",
    "number": "1902137680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "910 NW NAITO PKWY APT I25",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972093741",
            "telephone_number": "360-259-4934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 NW NAITO PKWY APT I25",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972093741",
            "telephone_number": "360-259-4934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PITTS-PALMERTON",
        "first_name": "KRISTALENE",
        "middle_name": "ANNE",
        "credential": "LICSW, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-01-20",
        "last_updated": "2024-04-10",
        "certification_date": "2024-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW00009588",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "L13834",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTALENE",
            "last_name": "STORMER",
            "middle_name": "A",
            "credential": "LICSW, LCSW",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Brook Paul Pittenger, MD
• Cari Elizabeth Pittleman, PHD
• Heather Pittman, LMT
• Kelvin Andre Pittman
• Trevor Micheal Pittman
• Bailey Capri Pitts
• Victoria L Piurowski, MD
• Carey A Pivcevich, L.AC.
• Catherine E Pivetti, NCC, LPC
• Jennifer Edith Pizzuti, NP

• Clinical Social Worker in Portland, OR
• Providers in Portland, OR by specialty
• Clinical Social Worker in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2024; 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.