Jenelle Phillips, LCSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

LCSW22149 Issued in CA

Practice address

718 University Ave Ste 110
Los Gatos, CA 95032-7608

Phone

(408) 896-0736

NPI assigned

Mar 30, 2019

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1553904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553904000000",
    "number": "1063973030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 AMANDA LN",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950324713",
            "telephone_number": "408-896-0736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "718 UNIVERSITY AVE STE 110",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950327608",
            "telephone_number": "408-896-0736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "JENELLE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-03-30",
        "last_updated": "2019-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CA",
            "license": "LCSW22149",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathleen P Phan, DMD
• Khanh Phan
• Pharmaca Integrative Pharmacy, Inc.
• Philip T. Ho, MD, Inc.
• Christine Phillips
• Abigail Philllips
• Physical Therapy of Los Gatos
• Jim Pietrantonio, O D
• Magdalena Kamila Pikala
• Rosanna Luca Pillari, R.N.

• Social Worker in Los Gatos, CA
• Providers in Los Gatos, CA by specialty
• Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.