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Contact Information

REBECCA K MAYO PITTS, LCSW
4064 JAMES MADISON HWY
FORK UNION, VA23055
 Phone: 434-825-8069
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
Indicates primary specialty

NPI Profile & details for REBECCA K MAYO PITTS · (Female)

NPI # 1487736807
Status Active
Credentials LCSW (Licensed Clinical Social Worker)
Entity Individual
Enumeration date 10/19/2006
Last updated 05/28/2020 - About 6 years ago
Sole proprietor 1 Yes
Identifiers
  • VA License # 0904005168
  • VA Medicaid 008939489
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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