GLEN PITTMAN (NPI# 1205179769) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205179769 |
| Entity Type | Individual |
| Full Name | GLEN PITTMAN |
| Credential | MSW |
| Practice Address |
2600 W 9th St Chester PA 19013-2040 |
| Practice Telephone | 6104977200 |
| Practice Fax Number | 6104977654 |
| Mailing Telephone | 6104977200 |
| Mailing Fax Number | 6104977654 |
| Enumeration Date | 2013-04-03 |
| Last Update Date | 2013-04-03 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083733984 | Glen D Pittman | Psychiatry & Neurology | 127 S. Liberty, Rushville, IL 62681 | 2007-03-29 |
| Street Address |
2600 W 9TH ST |
| City | CHESTER |
| State | PA |
| Zip Code | 19013-2040 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912961459 | William Patzig | Counselor | 2600 W 9th St, Chester, PA 19013-2040 | 2006-04-13 |
| 1427528298 | John Thomas Weis | Case Manager/Care Coordinator | 2600 W 9th St, Chester, PA 19013-2040 | 2018-12-05 |
| 1790255560 | Shemar Imani Moore | Case Manager/Care Coordinator | 2600 W 9th St, Chester, PA 19013-2040 | 2018-12-05 |
| 1821568726 | Aaron Redd | Case Manager/Care Coordinator | 2600 W 9th St, Chester, PA 19013-2040 | 2018-12-04 |
| 1063982270 | Ieasa Ann Nichols | Case Manager/Care Coordinator | 2600 W 9th St, Chester, PA 19013-2040 | 2018-11-30 |
| 1902376643 | Olivia Debiase | Counselor | 2600 W 9th St, Chester, PA 19013-2040 | 2018-11-26 |
| 1548738743 | Nicole Peterson | Case Manager/Care Coordinator | 2600 W 9th St, Chester, PA 19013-2040 | 2018-11-06 |
| 1437633161 | Tawilla Francis | Case Manager/Care Coordinator | 2600 W 9th St, Chester, PA 19013-2040 | 2018-09-19 |
| 1538642046 | Elexus N Shockley | Case Manager/Care Coordinator | 2600 W 9th St, Chester, PA 19013-2040 | 2018-09-11 |
| 1205319738 | Jacob Morris | Case Manager/Care Coordinator | 2600 W 9th St, Chester, PA 19013-2040 | 2018-09-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790305043 | Erika Pack | Student in an Organized Health Care Education/Training Program | Crozer-chester Medical Center, 1 Medical Center Blvd., Upland, PA 19013 | 2020-04-16 |
| 1477195287 | Andrew Matthews | Counselor | 301 West 15 Street, Chester, PA 19013 | 2019-10-14 |
| 1780241133 | Raashidah Elizabeth Bowman | Contractor | 1208 Remington Street, Chester, PA 19013 | 2019-05-21 |
| 1134609464 | Shamira Clintonia Johnson | Nurse's Aide | 217 W 5th St, Chester, PA 19013 | 2018-08-16 |
| 1871081299 | Michael Briskey | Student in an Organized Health Care Education/Training Program | 1 Medical Center Blv.d, Chester, PA 19013 | 2018-05-01 |
| 1356845499 | Sonia Gaur | Internal Medicine | 1 Medical Center Blvd Fl 3, Chester, PA 19013 | 2018-03-22 |
| 1548619232 | Beth Barol | Social Worker | 1602 Walnut St, Center for Social Work Education, Chester, PA 19013 | 2016-06-03 |
| 1235594888 | Eryka Jackson | Counselor | 516 West 5th Street, Chester, PA 19013 | 2015-12-28 |
| 1437553146 | Erin Hipple | Counselor | 200 West 9th St, Chester, PA 19013 | 2014-10-09 |
| 1588079867 | Crozer Chester Medical Center | Clinic/Center | 201 Bridgewater Road, Chester Township, PA 19013 | 2014-06-25 |
| Find all providers in zip 19013 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881201275 | Harvest Care Counseling Center, LLC | Counselor | 12604 Prestonfield Dr, Chester, VA 23836-5856 | 2020-09-29 |
| 1477195287 | Andrew Matthews | Counselor | 301 West 15 Street, Chester, PA 19013 | 2019-10-14 |
| 1164995551 | Jamie Merwin | Counselor | 2600 W 9th St Fl Alcohol4, Chester, PA 19013-2040 | 2019-01-08 |
| 1992211692 | Michael Mcgorty | Counselor | 1 Mill Ridge Ln Ste 204, Chester, NJ 07930-2489 | 2017-12-18 |
| 1295268845 | Terrisha Irving | Counselor | 2701 Madison St Apt H294, Chester, PA 19013-4731 | 2017-04-10 |
| 1366990731 | Deborah Hatton-brown | Counselor | 821 Glen Ter, Chester, PA 19013-5810 | 2016-09-14 |
| 1669824553 | Amanda Koniewicz | Counselor | 907 Yarnall St, Chester, PA 19013-2651 | 2016-07-05 |
| 1376994921 | Anthony Fluellen | Counselor | 500 E 24th St Apt B7, Chester, PA 19013-4828 | 2016-06-24 |
| 1639538804 | Kristina Barton | Counselor | 72 West Ave, Chester, NY 10918-1500 | 2016-02-16 |
| 1235594888 | Eryka Jackson | Counselor | 516 West 5th Street, Chester, PA 19013 | 2015-12-28 |
| Find all providers in CHESTER | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.