Provider Demographics
NPI:1205818713
Name:PITTS, CURTIS D (MSW)
Entity Type:Individual
Prefix:MR
First Name:CURTIS
Middle Name:D
Last Name:PITTS
Suffix:
Gender:M
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3675 CLARK ST
Mailing Address - Street 2:
Mailing Address - City:QUINNESEC
Mailing Address - State:MI
Mailing Address - Zip Code:49876-9505
Mailing Address - Country:US
Mailing Address - Phone:906-779-1633
Mailing Address - Fax:906-779-1633
Practice Address - Street 1:1210 S KIMBERLY AVE
Practice Address - Street 2:
Practice Address - City:IRON MOUNTAIN
Practice Address - State:MI
Practice Address - Zip Code:49801-4619
Practice Address - Country:US
Practice Address - Phone:906-774-2377
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-11-18
Last Update Date:2007-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI68010704351041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical