Diane Elizabeth Phillips, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C011765 Issued in NC

Practice address

1250 SE Maynard Rd Ste 204
Cary, NC 27511-6947

Phone

(919) 948-7718

NPI assigned

Aug 18, 2020

Last updated

Aug 18, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

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

Specialty

Clinical Social Worker

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Silver Linings for Seniors, IncGroup PAC ID 6103137112, 25 clinicians

Practice addresses (Care Compare)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Silver Linings for Seniors, Inc.

  • Clinical Social Worker
  • Cary, NC
  • NPI 1295124592
  Medicare reassignment Care Compare group NPD
• Grow Healthcare Group PA

  • Mental Health Counselor
  • Miami, FL
  • NPI 1245845932

  Clinical, NC

  Medicare reassignment NPD
• Kristin McArthur, MD, PLLC

  • Geriatric Psychiatry Physician
  • Cary, NC
  • NPI 1801398805
  NPD

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

{
    "created_epoch": "1597708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597708800000",
    "number": "1174135669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6931 PIN OAK CT",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282263962",
            "telephone_number": "518-859-8758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 SE MAYNARD RD STE 204",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275116947",
            "telephone_number": "919-948-7718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "DIANE",
        "middle_name": "ELIZABETH",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-18",
        "last_updated": "2020-08-18",
        "certification_date": "2020-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C011765",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "C011765",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "CHARLOTTE",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1250 SE Maynard Rd Ste 204",
            "city": "Cary",
            "state": "NC",
            "country_code": "US",
            "postal_code": "275116947",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Nicole Phelps, PHARMD
• Samantha Nicole Phelps
• Julie Davison Phillippi, ATC, LAT, MED
• Anita M Phillips
• Ashley Lauren Phillips
• Imani Brenda Phillips, RBT
• James F Phillips, PH.D.
• Kristin Ann Phillips, PT
• Rebecca Sue Phillips, NP
• Sean Phillips, D.C.

• Clinical Social Worker in Cary, NC
• Providers in Cary, 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 Aug 18, 2020; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.