Provider Demographics
NPI:1285263327
Name:PITTENGER, KARMEN M (MSW)
Entity type:Individual
Prefix:
First Name:KARMEN
Middle Name:M
Last Name:PITTENGER
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:227 MIDLAND AVE STE 15B
Mailing Address - Street 2:
Mailing Address - City:BASALT
Mailing Address - State:CO
Mailing Address - Zip Code:81621-8119
Mailing Address - Country:US
Mailing Address - Phone:970-925-5858
Mailing Address - Fax:
Practice Address - Street 1:227 MIDLAND AVE STE 15B
Practice Address - Street 2:
Practice Address - City:BASALT
Practice Address - State:CO
Practice Address - Zip Code:81621-8119
Practice Address - Country:US
Practice Address - Phone:970-925-5858
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-04-01
Last Update Date:2020-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker