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NPI Code Detail

MEDICARE: NICOLE PITTS LCSW-R

MEDICARE: NICOLE PITTS LCSW-R
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social WorkerR075811-1NY

General Provider Information

NPI Number : 1164448031
Entity Type Code : Individual
Provider Name (Legal Business Name) : NICOLE PITTS LCSW-R
Provider Business Mailing Address
First Line : 319 CENTRAL AVE
Second Line : COUNSELING & PSYCHIATRIC SERVICES
City : DUNKIRK
State : NY
Zip : 14048-2137
Country : US
Telephone Number : 716-363-6050
Fax Number : 716-363-6851
Provider Business Practice Location Address
First Line : 107 INSTITUTE ST
Second Line :
City : JAMESTOWN
State : NY
Zip : 14701-6628
Country : US
Telephone Number : 716-484-4334
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/14/2006
Last Update Date : 09/17/2020

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Directions to “ NICOLE PITTS LCSW-R” Practice Location

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