Individual ProviderEmily Jordan PittilloSocial WorkerBehavioral Health & Social Service ProvidersPractice Address5310 E 31st St, Tulsa, OK 74135-5018(918) 587-9471(918) 857-9417PECOS EnrollmentBased on the most recent information from CMS, provider Emily Jordan Pittillo does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records today at 9:15 AM.Profile DetailsProvider ID1538836788Provider TypeIndividualFull NamePittillo, Emily JordanGenderFemaleSole ProprietorNoEnumeration Date8/25/2021Last Updated11/18/2022Contact InformationPractice LocationPractice Address5310 E 31st St, Tulsa, OK 74135-5018Phone(918) 587-9471FaxUnlisted FaxMailing LocationMailing Address5310 E 31st St, Tulsa, OK 74135-5018Phone(918) 857-9417FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode104100000XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicense8351OklahomaCode171M00000XDescriptionCase Manager/Care CoordinatorOther Service ProvidersLicenseUnlisted Issuer