Provider Demographics
NPI:1053795641
Name:PITTOCK, DEBORAH (MSW, LIMHP, LIMSW)
Entity type:Individual
Prefix:
First Name:DEBORAH
Middle Name:
Last Name:PITTOCK
Suffix:
Gender:F
Credentials:MSW, LIMHP, LIMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:988102 NEBRASKA MEDICAL CTR
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68198-8102
Mailing Address - Country:US
Mailing Address - Phone:402-552-6007
Mailing Address - Fax:402-552-6225
Practice Address - Street 1:988102 NEBRASKA MEDICAL CTR
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68198-8102
Practice Address - Country:US
Practice Address - Phone:402-552-6007
Practice Address - Fax:402-552-6225
Is Sole Proprietor?:No
Enumeration Date:2015-07-14
Last Update Date:2024-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE1442101YM0800X
NE1452104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health