Provider Demographics
NPI:1053795641
Name:PITTOCK, DEBORAH (MSW, LIMHP, LIMSW)
Entity type:Individual
Prefix:
First Name:DEBORAH
Middle Name:
Last Name:PITTOCK
Suffix:
Gender:F
Credentials:MSW, LIMHP, LIMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3803 N 153RD ST STE 200
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68116-5176
Mailing Address - Country:US
Mailing Address - Phone:402-999-7713
Mailing Address - Fax:402-939-0524
Practice Address - Street 1:3803 N 153RD ST STE 200
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68116-5176
Practice Address - Country:US
Practice Address - Phone:402-674-6957
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-07-14
Last Update Date:2025-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE1442101YM0800X
NE1452104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health