Katlin Phillips

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

80075 Issued in CA

Practice address

212 Carmen LN
Suite 201
Santa Maria, CA 93458-7769

Phone

(805) 739-8706

NPI assigned

Jul 13, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

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.

• Santa Barbara County County Auditor

  • Community/Behavioral Health Agency
  • Santa Barbara, CA
  • NPI 1487857405
  NPD

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

{
    "created_epoch": "1310515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626048000000",
    "number": "1144518960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 CARMEN LN",
            "address_2": "SUITE 201",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934587769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 CARMEN LN",
            "address_2": "SUITE 201",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934587769",
            "telephone_number": "805-739-8706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "KATLIN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-13",
        "last_updated": "2021-07-12",
        "certification_date": "2021-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "80075",
            "primary": true
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARES CRISIS RESIDENTIAL NORTH",
            "identifier": "1952589228",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Judy Ann Pfeiffer, RN
• Jessica Pham, OTR
• Minhha Thi Pham, RPH
• Ryan Pham
• Regina Phelps, R.H.S.
• Sheila Duyka Phipps, R.PH.
• Michelle Phu
• Kelly J. Piazza, PA-C
• Scott Patrick Piazza
• Pierce Chiropractic & Sports Injury Center

• Clinical Social Worker in Santa Maria, CA
• Providers in Santa Maria, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2021; 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.