Active NPI
Kari Y. Phillips, LCSW
- Clinical Social Worker
- Hartsdale, NY
National Provider Identifier
1104975275
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 076425
- Practice address
- 141 N Central Ave
Hartsdale, NY 10530-1912 - Phone
- (914) 949-7699
- Fax
- (914) 949-3224
- NPI assigned
- Jan 9, 2007
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 076425 | NY | Primary |
Addresses
Primary practice location
141 N Central Ave
Hartsdale, NY 10530-1912
Mailing address
141 N Central Ave
Hartsdale, NY 10530-1912
Phone (914) 949-7699
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 355042 | Other | NY | HEALTHNET |
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 |
|---|---|---|---|
| 076425 | NY | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168300800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1225843200000",
"number": "1104975275",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "141 N CENTRAL AVE",
"city": "HARTSDALE",
"state": "NY",
"postal_code": "105301912",
"telephone_number": "914-949-7699",
"fax_number": "914-949-3224"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "141 N CENTRAL AVE",
"city": "HARTSDALE",
"state": "NY",
"postal_code": "105301912",
"telephone_number": "914-949-7699",
"fax_number": "914-949-3224"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHILLIPS",
"first_name": "KARI",
"middle_name": "Y.",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-09",
"last_updated": "2008-11-05",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "076425",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHNET",
"identifier": "355042",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hartsdale, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.