| Martha K Pitts Lisw Llc | |
|
2847 Progress Park Dr Stow OH 44224-2121 | |
| (440) 241-0763 | |
| Not Available |
| Full Name | Martha K Pitts Lisw Llc |
|---|---|
| Speciality | Social Worker |
| Location | 2847 Progress Park Dr, Stow, Ohio |
| Authorized Official Name and Position | Martha K Pitts (PRESIDENT) |
| Authorized Official Contact | 4402410763 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Martha K Pitts Lisw Llc 2847 Progress Park Dr Stow OH 44224-2121 Ph: (440) 241-0763 | Martha K Pitts Lisw Llc 2847 Progress Park Dr Stow OH 44224-2121 Ph: (440) 241-0763 |
| NPI Number | 1659998383 |
|---|---|
| Provider Enumeration Date | 06/29/2020 |
| Last Update Date | 06/29/2020 |
| Certification Date | 06/29/2020 |
| Medicare PECOS PAC ID | 9436572260 |
|---|---|
| Medicare Enrollment ID | O20200713000090 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659998383 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | (* (Not Available)) | Primary |
| Provider Name | Martha K Pitts |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1144257353 PECOS PAC ID: 9931207214 Enrollment ID: I20070611000226 |
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