Provider Demographics
NPI:1881558914
Name:PITSTICK, COURTNEY DIANE (MSW)
Entity type:Individual
Prefix:
First Name:COURTNEY
Middle Name:DIANE
Last Name:PITSTICK
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 1:523 NORTHGATE CIR
Mailing Address - Street 2:
Mailing Address - City:OSWEGO
Mailing Address - State:IL
Mailing Address - Zip Code:60543-8205
Mailing Address - Country:US
Mailing Address - Phone:630-815-5744
Mailing Address - Fax:
Practice Address - Street 1:113 MAIN ST STE 203
Practice Address - Street 2:
Practice Address - City:OSWEGO
Practice Address - State:IL
Practice Address - Zip Code:60543-2305
Practice Address - Country:US
Practice Address - Phone:630-773-9108
Practice Address - Fax:630-912-4242
Is Sole Proprietor?:No
Enumeration Date:2025-12-12
Last Update Date:2025-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker