Active NPI
Phillip Arthur Phelps, LCSW
- Clinical Social Worker
- Pittsburgh, PA
National Provider Identifier
1083679567
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- CW013256
- Practice address
- 5215 Centre Ave
Pittsburgh, PA 15232-1303 - Phone
- (412) 623-6648
- Fax
- (412) 623-6629
- NPI assigned
- Apr 19, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | CW013256 | PA | Primary |
Addresses
Primary practice location
5215 Centre Ave
Pittsburgh, PA 15232-1303
Mailing address
1506 3Rd St
Natrona Heights, PA 15065-1239
Phone (724) 226-9830
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0019591190001 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CW013256 | PA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145404800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1083679567",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1506 3RD ST",
"city": "NATRONA HEIGHTS",
"state": "PA",
"postal_code": "150651239",
"telephone_number": "724-226-9830",
"fax_number": "412-623-6629"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5215 CENTRE AVE",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152321303",
"telephone_number": "412-623-6648",
"fax_number": "412-623-6629"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHELPS",
"first_name": "PHILLIP",
"middle_name": "ARTHUR",
"name_prefix": "Mr.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-04-19",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "PA",
"license": "CW013256",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0019591190001",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pittsburgh, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.