Tonya Charise Phillips, LCSW-C,LCADC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

14364 Issued in MD

Practice address

2464 85TH Medical BN Avenue
Aberdeen Proving Ground, MD 20755

Phone

(301) 677-7188

Fax

(301) 677-5416

NPI assigned

Sep 29, 2010

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1285718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378771200000",
    "number": "1134438856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2464 85TH MEDICAL BN AVENUE",
            "city": "ABERDEEN PROVING GROUND",
            "state": "MD",
            "postal_code": "20755",
            "telephone_number": "301-677-7188",
            "fax_number": "301-677-5416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2464 85TH MEDICAL BN AVENUE",
            "city": "ABERDEEN PROVING GROUND",
            "state": "MD",
            "postal_code": "20755",
            "telephone_number": "301-677-7188",
            "fax_number": "301-677-5416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "TONYA",
        "middle_name": "CHARISE",
        "credential": "LCSW-C,LCADC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-09-29",
        "last_updated": "2013-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MD",
            "license": "LCA1814",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "14364",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karina Madelline Morales Sandoval
• Leigh Anne Morrow, PSYD
• Margaret Anne Nahrgang, CNA
• Marcia Debra Parker, RN
• Joseph V. Perugino, MD
• Kim Theresa Pierre-Zamora, AUD
• Justice Gerald Sheridan Pilgrim, DDS
• William Arthur Rice, MD, MPH, MHA
• Pamela Diane Ricketts, PHARMD
• Georgia Grace Rogers, DMD, MPH

• Clinical Social Worker in Aberdeen Proving Ground, MD
• Providers in Aberdeen Proving Ground, MD by specialty
• Clinical Social Worker in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2013; 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.