Susannah L Shell-Phillips, LISW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

01313 Issued in IA

Practice address

1101 4TH Street
Floor 2
Sioux City, IA 51101-1952

Phone

(712) 490-0006

Fax

(402) 496-9499

NPI assigned

Oct 10, 2006

Last updated

Nov 28, 2022By 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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IA

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

Specialty

Clinical Social Worker

Education

Other, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Susannah Shell-Phillips PLLC

  • Clinical Social Worker
  • Sioux City, IA
  • NPI 1609590488
  Medicare reassignment NPD
• Mental Health Associates,LLC

  • Psychologist
  • Sioux City, IA
  • NPI 1962551275
  Medicare reassignment
• Alliance Physicians Inc

  dba Kettering Health Medical Group

  • Family Medicine Physician
  • Kettering, OH
  • NPI 1437125572
  NPD (past)

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669593600000",
    "number": "1114015922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 4TH STREET",
            "address_2": "FLOOR 2",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511011952",
            "telephone_number": "402-496-9966",
            "fax_number": "402-496-9499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 4TH STREET",
            "address_2": "FLOOR 2",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511011952",
            "telephone_number": "712-490-0006",
            "fax_number": "402-496-9499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHELL-PHILLIPS",
        "first_name": "SUSANNAH",
        "middle_name": "L",
        "credential": "LISW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-10",
        "last_updated": "2022-11-28",
        "certification_date": "2022-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IA",
            "license": "01313",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1152322",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shamayne M. Frank, DDS, PC
• Sharp Eyes Family Vision Center, PLC
• Lowell D. Shaw, D.D.S.
• Shawn R Walton
• Nicole Kay Shea, NP-C
• Ship-Administrative Services
• Steven L Shook, MD
• Shopko Stores Operating Co LLC (ShopKo Pharmacy 040)
• Shopko Stores Operating Co. LLC (ShopKo Optical 040)
• Shoptikal LLC (Shopko Optical 4040)

• Clinical Social Worker in Sioux City, IA
• Providers in Sioux City, IA by specialty
• Clinical Social Worker in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2022; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.