KELLY A PITTMAN (NPI# 1962012823) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962012823 |
| Entity Type | Individual |
| Full Name | KELLY A PITTMAN |
| Credential | MSW, LGSW |
| Practice Address |
4801 Veterans Dr Saint Cloud MN 56303-2015 |
| Practice Telephone | 3202521670 |
| Mailing Telephone | 3202521670 |
| Enumeration Date | 2020-08-05 |
| Last Update Date | 2020-08-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
28235 | MN | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609121375 | Kelly B. Pittman | Speech-Language Pathologist | 11517 Kanis Rd., Little Rock, AR 72211 | 2012-07-19 |
| 1538600507 | Kelly Pittman | Social Worker | 3114 Sutton Blvd, Saint Louis, MO 63143-3910 | 2017-03-10 |
| Street Address |
4801 VETERANS DR |
| City | SAINT CLOUD |
| State | MN |
| Zip Code | 56303-2015 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780675629 | Michelle P Pittman-leyendecker | Nurse Practitioner | 4801 Veterans Dr, Saint Cloud, MN 56303-2015 | 2005-10-31 |
| 1255939773 | Samantha Stager | Registered Nurse | 4801 Veterans Dr, Saint Cloud, MN 56303-2015 | 2020-10-16 |
| 1447866587 | Alyssa L Pumford | Dietitian, Registered | 4801 Veterans Dr, Saint Cloud, MN 56303-2015 | 2020-09-22 |
| 1427663905 | John David Estep | Social Worker | 4801 Veterans Dr, B28 Rm 155, Saint Cloud, MN 56303-2099 | 2020-09-11 |
| 1356951297 | Alyssa Anne Berscheid | Registered Nurse | 4801 Veterans Dr, Saint Cloud, MN 56303-2015 | 2020-08-05 |
| 1790395861 | Anna Elisabeth Lee | Dietitian, Registered | 4801 Veterans Dr, Saint Cloud, MN 56303-2015 | 2020-08-04 |
| 1932718004 | Bradee Schiefelbein | Audiologist | 4801 Veterans Dr, Saint Cloud, MN 56303-2015 | 2020-07-24 |
| 1346865532 | Kali Rae Pichotta | Nurse Practitioner | 4801 Veterans Dr, Saint Cloud, MN 56303-2015 | 2020-06-12 |
| 1174145783 | Renae Elizabeth Lockerby | Social Worker | 4801 Veterans Dr, Saint Cloud, MN 56303-2015 | 2020-05-18 |
| 1346869286 | Mckenzie Moore | Pharmacist | 4801 Veterans Dr, Saint Cloud, MN 56303-2015 | 2020-04-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841800463 | Daniel P Lahr | Radiologic Technologist | St Cloud Va Health Care System, 4801 Veterans Drive, St Cloud, MN 56303 | 2020-08-07 |
| 1730798398 | County of Stearns | Case Management | 705 Courthouse Square, St Cloud, MN 56303 | 2020-07-29 |
| 1669007126 | Aflah Transportation LLC | Non-emergency Medical Transport (VAN) | 3316 3rd Street North, Suite 129, Saint Cloud, MN 56303 | 2020-03-05 |
| 1609420942 | Stephanie Lynne Metzger | Nurse Practitioner | Centracare Clinic Riverc Ampus/nephrology, 1200 Sixth Ave North, St. Cloud, MN 56303 | 2019-07-25 |
| 1306406947 | Willow Tree Acupuncture LLC | Acupuncturist | 203 Cooper Ave N Suite 160, St. Cloud, MN 56303 | 2019-06-17 |
| 1821553520 | Alan Melvin Hoeper | Nurse Anesthetist, Certified Registered | Centracare Clinic Anesthesiology, 3701 12th St N, Suite 202, St. Cloud, MN 56303 | 2019-02-06 |
| 1437644465 | Brianna Larissa Justin | Speech-Language Pathologist | St. Cloud Hospital, 1406 6th Avenue N, St. Cloud, MN 56303 | 2018-06-22 |
| 1780186486 | Simplicity Health Pa | Family Medicine | 1511 Northway Dr Ste 103, Saint Cloud, MN 56303 | 2018-03-08 |
| 1639682925 | Dereje Beyene | Respiratory Therapist, Certified | 1406 15th Street North, Saint Cloud, MN 56303 | 2017-11-09 |
| 1740792761 | Lisa Ann Horner | Nurse Practitioner | 1555 Northway Drive #110, Centracare Complex Care Clinic, St Cloud, MN 56303 | 2017-10-31 |
| Find all providers in zip 56303 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386143923 | Erin Lindsey Raymond | Social Worker | 1203 Florida Ave, Saint Cloud, FL 34769-3721 | 2018-02-09 |
| 1679029599 | Jeffrey Scott Fleischmann | Social Worker | 1900 Centracare Cir # 2475, Centracare Health Plaza, Saint Cloud, MN 56303-5000 | 2016-08-31 |
| 1710368998 | Ann Marie Rodriguez | Social Worker | 4707 Ashton Dr W, Saint Cloud, FL 34771-4879 | 2015-06-14 |
| 1376946806 | Charity Anne Hans | Social Worker | 511 3rd St Ne, Saint Cloud, MN 56304-0311 | 2014-09-29 |
| 1881844587 | John Allan Mazzitello | Social Worker | 1700 Hillcrest Rd, Saint Cloud, MN 56303-1415 | 2008-09-30 |
| 1336331479 | Jennifer Marie Keena | Social Worker | 1045 16th Ave S, Saint Cloud, MN 56301-5235 | 2007-08-13 |
| 1295812105 | Kenneth Longfellow Hanna II | Social Worker | 600 25th Ave S Ste 209, Saint Cloud, MN 56301-4866 | 2006-11-01 |
| 1093828204 | Julie Kay Theismann | Social Worker | 2025 Stearns Way Ste 111, Saint Cloud, MN 56303-1275 | 2006-08-15 |
| 1639181332 | Sharon Lee Lee | Social Worker | 2004 13th St N, Saint Cloud, MN 56303-2502 | 2006-08-12 |
| 1669494605 | Midwest Eap Solutions | Social Worker | 1010 W Saint Germain St Ste 580, Saint Cloud, MN 56301-4166 | 2006-07-25 |
| Find all providers in SAINT CLOUD | ||||
| City | SAINT CLOUD |
| Zip Code | 56303 |
Please comment or provide details below to improve the information on KELLY A PITTMAN.
| 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.