Active NPI
Heather Phillips
- Social Worker
- Lyons, NY
National Provider Identifier
1104510981
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 119898
- Practice address
- 77 Water St
Lyons, NY 14489-1253 - Phone
- (315) 539-5067
- NPI assigned
- Jun 6, 2023
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 119898 | NY | Primary |
Addresses
Primary practice location
77 Water St
Lyons, NY 14489-1253
Mailing address
77 Water St
Lyons, NY 14489-1253
Other practice location 1
427 New Karner Rd
Albany, NY 12205-3852
Phone (518) 456-1969
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 119898 | NY | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1686009600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1781049600000",
"number": "1104510981",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "77 WATER ST",
"city": "LYONS",
"state": "NY",
"postal_code": "144891253"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "77 WATER ST",
"city": "LYONS",
"state": "NY",
"postal_code": "144891253",
"telephone_number": "315-539-5067"
}
],
"practiceLocations": [
{
"address_1": "427 New Karner Rd",
"address_purpose": "LOCATION",
"city": "Albany",
"state": "NY",
"postal_code": "122053852",
"country_code": "US",
"telephone_number": "518-456-1969",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PHILLIPS",
"first_name": "HEATHER",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-06-06",
"last_updated": "2026-06-10",
"certification_date": "2026-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "119898",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lyons, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.