Provider Demographics
NPI:1417438128
Name:PITKIN, SARAH FRANCIS (LPC, LSATP, ATR-BC)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:FRANCIS
Last Name:PITKIN
Suffix:
Gender:F
Credentials:LPC, LSATP, ATR-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1900 MOUNT VERNON AVE
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:VA
Mailing Address - Zip Code:22301-1302
Mailing Address - Country:US
Mailing Address - Phone:571-281-0338
Mailing Address - Fax:
Practice Address - Street 1:1900 MOUNT VERNON AVE
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22301-1302
Practice Address - Country:US
Practice Address - Phone:571-281-0338
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-08-22
Last Update Date:2018-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC16-278221700000X
VA0701007641101Y00000X
VA0718000311101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Multi-Specialty
No221700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersArt TherapistGroup - Multi-Specialty
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
VAF24603210OtherDRIVERS LICENSE