Active NPI
Phil M Packwood, LCSW
- Social Worker
- Sugar Land, TX
National Provider Identifier
1205941457
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 29084
- Practice address
- 1 Sugar Creek Center Blvd
Suite 320
Sugar Land, TX 77478-3560 - Phone
- (281) 265-7311
- Fax
- (281) 265-4683
- NPI assigned
- Aug 20, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 29084 | TX | Primary |
Addresses
Primary practice location
1 Sugar Creek Center Blvd
Suite 320
Sugar Land, TX 77478-3560
Mailing address
1 Sugar Creek Center Blvd
Suite 320
Sugar Land, TX 77478-3560
Phone (281) 265-7311
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 418306 | Other | TX | VALUE OPTIONS |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 29084 | TX | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Packwood Psychotherapy Services | Social Worker | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Social Worker
- Sugar Land, TX
- NPI 1932322161
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156032000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1205941457",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 SUGAR CREEK CENTER BLVD",
"address_2": "SUITE 320",
"city": "SUGAR LAND",
"state": "TX",
"postal_code": "774783560",
"telephone_number": "281-265-7311",
"fax_number": "281-265-4683"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 SUGAR CREEK CENTER BLVD",
"address_2": "SUITE 320",
"city": "SUGAR LAND",
"state": "TX",
"postal_code": "774783560",
"telephone_number": "281-265-7311",
"fax_number": "281-265-4683"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PACKWOOD",
"first_name": "PHIL",
"middle_name": "M",
"name_prefix": "Mr.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "TX",
"license": "29084",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VALUE OPTIONS",
"identifier": "418306",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Sugar Land, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.