Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Taylor Renee Pitkus

Individual provider Social Worker · NPI 1073355582

Taylor Renee Pitkus is a Clinical Social Worker in Miami, Oklahoma. Qualified in 2023, 3 years ago. Practices with Grand Lake Mental Health Center, Inc, a 120-clinician group and accepts Medicare assignment. Licensed in Oklahoma.

Years since qualifying
3
Licensed in
OK
In the registry since
2024

Practice location Address checks out

111 S Treaty Rd
Miami, OK 74354-5327
Phone: (844) 458-2100
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Social Worker (primary) Taxonomy 104100000X · Licence 20787 (OK)

Record details

NPI number1073355582
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 7, 2024
Last updated in NPPESJune 7, 2024
Certification dateJune 7, 2024
Mailing address111 S Treaty Rd, Miami, OK 74354-5327

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Grand Lake Mental Health Center, Inc. — 120 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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