Angela R. Phillips, LMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

109999 Issued in TX

Practice address

900 E Park Blvd Ste 280
Plano, TX 75074-8862

Phone

(469) 626-7511

Fax

(469) 613-0883

NPI assigned

Apr 12, 2023

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 names 1

• Angela Nicholson Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• A Family Place - Counseling, PLLC

  • Multi-Specialty Clinic/Center
  • Plano, TX
  • NPI 1205969714
  NPD

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

{
    "created_epoch": "1681257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681257600000",
    "number": "1114613247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 S CARROLL BLVD STE 230",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762017423",
            "telephone_number": "469-626-7511",
            "fax_number": "469-613-0883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 E PARK BLVD STE 280",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750748862",
            "telephone_number": "469-626-7511",
            "fax_number": "469-613-0883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "ANGELA",
        "middle_name": "R.",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-04-12",
        "last_updated": "2023-04-12",
        "certification_date": "2023-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "TX",
            "license": "109999",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANGELA",
            "last_name": "NICHOLSON",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jada R Pherribo
• Philip D. Korenman MD
• Jiffy Ann Philip, PHARM.D
• Terry V Philip
• Jinu Philipose, PHARM D.
• Catherine Lebourdais Phillips, PT
• Jennifer Elizabeth Phillips, CF-SLP
• Kyloni D Phillips, APN
• Michael Don Phillips, OD
• Paula Phillips, OT

• Social Worker in Plano, TX
• Providers in Plano, TX by specialty
• Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.