Brenda Pitmon, LICSW, LADC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

089.0074840 Issued in VT

Practice address

5 Chase LN
South Hero, VT 05486-4800

Phone

(802) 338-0985

NPI assigned

Sep 28, 2016

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1475020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475020800000",
    "number": "1932658143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 CHASE LN",
            "city": "SOUTH HERO",
            "state": "VT",
            "postal_code": "054864800",
            "telephone_number": "802-338-0985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 CHASE LN",
            "city": "SOUTH HERO",
            "state": "VT",
            "postal_code": "054864800",
            "telephone_number": "802-338-0985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PITMON",
        "first_name": "BRENDA",
        "credential": "LICSW, LADC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-09-28",
        "last_updated": "2016-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VT",
            "license": "089.0074840",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen Leigh Lawes, MD
• Tayler Harris Levesque, APRN, FNP-C
• Tammy Rebecca Mandigo
• Nadia Merali, PA
• Glen B Moyer, D. D. S.
• Katherine Porcelli, MSW
• Michael E Rapaport, MD
• Wendy L Raymond, LPN
• Remedies Pharmacy LLC
• Linda Ann Rundstrom, LPN

• Clinical Social Worker in South Hero, VT
• Providers in South Hero, VT by specialty
• Clinical Social Worker in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2016; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.