Sydney M Phipps, LCSW, LCAS

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C009862 Issued in NC

Practice address

1201 S Post Rd # 100
Shelby, NC 28152

Phone

(704) 481-7001

Fax

(704) 445-4582

NPI assigned

May 13, 2011

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

Enrolled in NC

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: sphipps@goshenmedical.cloudcraftdirect.com

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.

• Goshen Medical Center, Incorporated

  dba Goshen Medical Center - Duplin

  • Federally Qualified Health Center (FQHC)
  • Kenansville, NC
  • NPI 1962124974
  Medicare reassignment NPD
• Newday Wellness and Counseling PLLC

  • Clinical Social Worker
  • Shelby, NC
  • NPI 1063185338
  NPD Authorized official
• Rhodium Care Group PLLC

  • Clinical Psychologist
  • Hertford, NC
  • NPI 1699534537
  Medicare reassignment
• Goshen Medical Center Incorporated

  • Federally Qualified Health Center (FQHC)
  • Faison, NC
  • NPI 1154378933

  Clinical

  NPD
• Goshen Medical Center Incorporated

  dba GMC Pharmacy at Rockingham

  • Federally Qualified Health Center (FQHC)
  • Rockingham, NC
  • NPI 1457181323
  NPD
• Thrive Counseling LLC

  dba Thriveworks

  • Mental Health Counselor
  • Lynchburg, VA
  • NPI 1215181300
  NPD (past)

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

{
    "created_epoch": "1305244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567382400000",
    "number": "1144512872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6900 FARMINGDALE DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282125551",
            "telephone_number": "704-536-6853",
            "fax_number": "704-445-4582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 S POST RD # 100",
            "city": "SHELBY",
            "state": "NC",
            "postal_code": "28152",
            "telephone_number": "704-481-7001",
            "fax_number": "704-445-4582"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5142 Bentgrass Run Dr",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282696129",
            "country_code": "US",
            "telephone_number": "704-481-8379",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6900 Farmingdale Dr",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282125551",
            "country_code": "US",
            "telephone_number": "704-536-6853",
            "fax_number": "704-445-4582",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PHIPPS",
        "first_name": "SYDNEY",
        "middle_name": "M",
        "credential": "LCSW, LCAS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-05-13",
        "last_updated": "2019-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "LCAS-3094",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C009862",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Evelyn Philbeck, R.PH.
• Mindy Self Philbeck, LCSWA
• Sarah Nantz Philbeck, LCMHC
• Philip F. Jiamachello, D.D.S.
• Kern Phillip, DPT
• Phoenix Counseling Center
• Phoenix Counseling Center
• Phoenix Counseling of Gaston Lincoln (Phoenix Counseling Center)
• Phytcare LLC
• Piedmont Behavioral Resources, Inc.

• Clinical Social Worker in Shelby, NC
• Providers in Shelby, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2019; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.