NPIMap

Individual provider Active NPI

Rebecca Ann Phillips, LMSW

  • Clinical Social Worker
  • Farmington Hills, MI
National Provider Identifier
1154690683
Registry record updated Aug 13, 2020
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Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801079990 Issued in MI
Practice address
37899 W 12 Mile Rd Ste 250
Farmington Hills, MI 48331-6107
Phone
(734) 743-1185
NPI assigned
Dec 29, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
School Social Worker 1041S0200X 6801079990 MI
Clinical Social Worker 1041C0700X 6801079990 MI Primary
Social Worker 104100000X 6801079990 MI

Addresses

Primary practice location

37899 W 12 Mile Rd Ste 250
Farmington Hills, MI 48331-6107

Mailing address

37899 W 12 Mile Rd Ste 250
Farmington Hills, MI 48331-6107
Phone (734) 743-1185

Other practice location 1

25945 W 7 Mile Rd
Redford, MI 48240-1808
Phone (313) 535-6560

Other practice location 2

16000 Riverside St
Livonia, MI 48154-2461
Phone (734) 743-1185

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Elyse Fine LMSW Acsw PLLC Clinical Past Accepting new patients
Redford Counseling Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1325116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597276800000",
    "number": "1154690683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37899 W 12 MILE RD STE 250",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483316107",
            "telephone_number": "734-743-1185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37899 W 12 MILE RD STE 250",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483316107",
            "telephone_number": "734-743-1185"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "25945 W 7 Mile Rd",
            "address_purpose": "LOCATION",
            "city": "Redford",
            "state": "MI",
            "postal_code": "482401808",
            "country_code": "US",
            "telephone_number": "313-535-6560",
            "fax_number": "313-535-5266",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "16000 Riverside St",
            "address_purpose": "LOCATION",
            "city": "Livonia",
            "state": "MI",
            "postal_code": "481542461",
            "country_code": "US",
            "telephone_number": "734-743-1185",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "REBECCA",
        "middle_name": "ANN",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-12-29",
        "last_updated": "2020-08-13",
        "certification_date": "2020-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "MI",
            "license": "6801079990",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801079990",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6801079990",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington Hills, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2020; 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.