Provider Demographics
NPI:1437343431
Name:FOSTER-PITTS, CAROLE ANN (MSW, LCSW)
Entity Type:Individual
Prefix:MRS
First Name:CAROLE
Middle Name:ANN
Last Name:FOSTER-PITTS
Suffix:
Gender:F
Credentials:MSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8014 N. 16TH DRIVE
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85021
Mailing Address - Country:US
Mailing Address - Phone:602-620-0181
Mailing Address - Fax:602-381-9907
Practice Address - Street 1:2400 AZ BILTMORE CIRCLE
Practice Address - Street 2:BLDG #4 SUITE 2430
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85016
Practice Address - Country:US
Practice Address - Phone:602-620-0181
Practice Address - Fax:602-381-9907
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-02
Last Update Date:2012-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZSW-38051101YM0800X
AZSW380511041C0700X
AZ101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ77953Medicare PIN
AZZ77953Medicare PIN