Individual provider Active NPI

Rosemarie Phillips

  • Clinical Social Worker
  • San Antonio, TX
National Provider Identifier
1205217676
Registry record updated Mar 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
3927 Issued in HI
Practice address
6609 Blanco Rd Ste 300
San Antonio, TX 78216-6179
Phone
(571) 544-9444
NPI assigned
Jun 11, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 3927 HI Primary

Addresses

Primary practice location

6609 Blanco Rd Ste 300
San Antonio, TX 78216-6179

Mailing address

3601 Pickett Rd Unit 2272
Fairfax, VA 22031-8114

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
3927HIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Zenmind Therapy, LLC CurrentSince Mar 20, 2022 Accepting new patients

Locations

6609 Blanco Rd
Ste 300
San Antonio, TX 78216
Phone (571) 544-9444

3601 Pickett Rd
Unit 2272
Fairfax, VA 22031

Organizations & group practices 1

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": "1433980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647475200000",
    "number": "1205217676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3601 PICKETT RD UNIT 2272",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220318114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6609 BLANCO RD STE 300",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782166179",
            "telephone_number": "571-544-9444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "ROSEMARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-11",
        "last_updated": "2022-03-17",
        "certification_date": "2022-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "HI",
            "license": "3927",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2022; 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.