Provider Demographics
NPI:1831385681
Name:PITTS, LAKEISHA SHAUNDELL (MSW)
Entity type:Individual
Prefix:MRS
First Name:LAKEISHA
Middle Name:SHAUNDELL
Last Name:PITTS
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:MS
Other - First Name:LAKEISHA
Other - Middle Name:SHAUNDELL
Other - Last Name:BLACKS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4101 INNOVATOR DR
Mailing Address - Street 2:1006
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95834-3851
Mailing Address - Country:US
Mailing Address - Phone:916-730-4969
Mailing Address - Fax:
Practice Address - Street 1:4320 AUBURN BLVD
Practice Address - Street 2:1200
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95841-4166
Practice Address - Country:US
Practice Address - Phone:916-418-0828
Practice Address - Fax:916-418-0838
Is Sole Proprietor?:No
Enumeration Date:2007-09-14
Last Update Date:2011-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
No101Y00000XBehavioral Health & Social Service ProvidersCounselor