Carla Michelle White-Phillips, MSW, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

DP00942378 Issued in WV

Practice address

26 Bunting LN
Beckley, WV 25801-3656

Phone

(304) 890-1614

NPI assigned

Sep 26, 2018

Last updated

May 3, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WV

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: redemptionservices.carlawhite-phillips@156522.advancedmd-direct.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Redemption Services, LLC.

  • Community/Behavioral Health Agency
  • Beckley, WV
  • NPI 1770047060

  Clinical

  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1537920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620000000000",
    "number": "1033694989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 BUNTING LN",
            "city": "BECKLEY",
            "state": "WV",
            "postal_code": "258013656",
            "telephone_number": "304-890-1614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 BUNTING LN",
            "city": "BECKLEY",
            "state": "WV",
            "postal_code": "258013656",
            "telephone_number": "304-890-1614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE-PHILLIPS",
        "first_name": "CARLA",
        "middle_name": "MICHELLE",
        "credential": "MSW, LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-09-26",
        "last_updated": "2021-05-03",
        "certification_date": "2020-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WV",
            "license": "DP00942378",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer L Whaley, CNP
• Nicole Lia Whatley, M.D.
• Brennan Wheeler
• Danny Wheeler
• Roberta Sue Wheeler
• Ashley White, LCAS
• Emma J White
• Felicia White
• Jessica Mae White
• Kala White, FNP-BC

• Clinical Social Worker in Beckley, WV
• Providers in Beckley, WV by specialty
• Clinical Social Worker in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.