| Mr Sean Pitman, MSW, LCSW | |
|
934 North Gaskill Street, Huntsville, AR 72740-1319 | |
| (479) 738-5500 | |
| (479) 738-1350 |
| Full Name | Mr Sean Pitman |
|---|---|
| Gender | Male |
| Speciality | Clinical Social Worker |
| Experience | 34 Years |
| Location | 934 North Gaskill Street, Huntsville, Arkansas |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336446384 | NPI | - | NPPES |
| 1083-C | Other | AR | LCSW |
| 271128758 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 1083-C (Arkansas) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Boston Mountain Rural Health Center, Inc | 3870401722 | 49 |
| Entity Name | Boston Mountain Rural Health Center, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1720096027 PECOS PAC ID: 3870401722 Enrollment ID: O20040701000737 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Sean Pitman, MSW, LCSW Po Box 1060, Marshall, AR 72650-1060 Ph: (479) 738-5500 | Mr Sean Pitman, MSW, LCSW 934 North Gaskill Street, Huntsville, AR 72740-1319 Ph: (479) 738-5500 |
Otto Rollwage Kirkpatrick Jr., LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 701 Phillips Pl, Huntsville, AR 72740 Phone: 475-750-2020 Fax: 479-738-1132 | |
Christine Lindsey, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1104 N College St, Huntsville, AR 72740 Phone: 479-738-2878 Fax: 479-750-4843 | |
Vicky Ann Boettcher, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 701 Phillips Pl, Huntsville, AR 72740 Phone: 479-750-2020 Fax: 479-738-1132 | |
Madison Stocks, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 934 N Gaskill St, Huntsville, AR 72740 Phone: 479-738-5500 | |
Christa Nicole Lawrence, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1104 N College St, Huntsville, AR 72740 Phone: 479-738-2878 Fax: 479-750-4843 |