Active NPI
Philip Gust Bellios, LCSW-C
- Clinical Social Worker
- Towson, MD
National Provider Identifier
1215074109
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 12912
- Practice address
- 8415 Bellona LN Ste 203
Towson, MD 21204-2066 - Phone
- (410) 777-8151
- Fax
- (410) 268-0619
- NPI assigned
- Jan 31, 2007
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 12912 | MD | Primary |
Addresses
Primary practice location
8415 Bellona LN Ste 203
Towson, MD 21204-2066
Mailing address
8415 Bellona LN Ste 203
Towson, MD 21204-2066
Phone (410) 777-8151
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| BLUE CROSS & BLUE | Other | MD | MENTAL HEALTH INSURENCE |
| CIGNA | Other | MD | MENTAL HEALTH INSURENCE |
| AETNA | Other | MD | HEALTH INSURENCE |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170201600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1626652800000",
"number": "1215074109",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8415 BELLONA LN STE 203",
"city": "TOWSON",
"state": "MD",
"postal_code": "212042066",
"telephone_number": "410-777-8151"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8415 BELLONA LN STE 203",
"city": "TOWSON",
"state": "MD",
"postal_code": "212042066",
"telephone_number": "410-777-8151",
"fax_number": "410-268-0619"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BELLIOS",
"first_name": "PHILIP",
"middle_name": "GUST",
"name_prefix": "Mr.",
"credential": "LCSW-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-31",
"last_updated": "2021-07-19",
"certification_date": "2021-07-19",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MD",
"license": "12912",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MENTAL HEALTH INSURENCE",
"identifier": "BLUE CROSS & BLUE",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MENTAL HEALTH INSURENCE",
"identifier": "CIGNA",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH INSURENCE",
"identifier": "AETNA",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}Other providers in Towson, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.