Philip H West, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

118847 Issued in MA

Practice address

66 Clifton Ave
Marblehead, MA 01945-1737

Phone

(781) 631-8273

NPI assigned

Jan 9, 2014

Sex

Male

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 MA

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, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Marblehead Counseling Center IncGroup PAC ID 2860464138, 7 clinicians

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 and National Provider Directory roles.

• Marblehead Counseling Center Inc

  • Counselor
  • Marblehead, MA
  • NPI 1205915857
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1389225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641686400000",
    "number": "1114349271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 RANTOUL ST APT 706",
            "city": "BEVERLY",
            "state": "MA",
            "postal_code": "019157305",
            "telephone_number": "978-473-7903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "66 CLIFTON AVE",
            "city": "MARBLEHEAD",
            "state": "MA",
            "postal_code": "019451737",
            "telephone_number": "781-631-8273"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Cummings Ctr Ste 430G",
            "address_purpose": "LOCATION",
            "city": "Beverly",
            "state": "MA",
            "postal_code": "019156500",
            "country_code": "US",
            "telephone_number": "978-473-7903",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WEST",
        "first_name": "PHILIP",
        "middle_name": "H",
        "name_prefix": "Mr.",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-01-09",
        "last_updated": "2022-01-09",
        "certification_date": "2022-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "118847",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004236148",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Matthew A Wallen
• Corrine A Walsh, COTA/L
• Elayne J Weiner, EDD
• Marcia Lois Weinstein Steinbrook, PHD
• Wellcrest
• Loren Lee Weston, BA
• Wholeperson Impairment Rating Solutions
• Elizabeth Whytock, MOT, OTR/L
• Leila Randi Williams, M.S.,CCC/SLP
• Jane Williamson

• Clinical Social Worker in Marblehead, MA
• Providers in Marblehead, MA by specialty
• Clinical Social Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 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.