Daniel Paul Phillips, LCSW

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LCSW91463 Issued in CA

Practice address

970 Kingston Ave
Piedmont, CA 94611-4338

Phone

(510) 547-7492

Fax

(510) 547-7492

NPI assigned

Apr 16, 2021

Last updated

Apr 16, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1618531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618531200000",
    "number": "1215518618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "970 KINGSTON AVE",
            "city": "PIEDMONT",
            "state": "CA",
            "postal_code": "946114338",
            "telephone_number": "510-547-7492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "970 KINGSTON AVE",
            "city": "PIEDMONT",
            "state": "CA",
            "postal_code": "946114338",
            "telephone_number": "510-547-7492",
            "fax_number": "510-547-7492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "DANIEL",
        "middle_name": "PAUL",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-04-16",
        "last_updated": "2021-04-16",
        "certification_date": "2021-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "LCSW91463",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCSW91463",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leslie Oldershaw, L.AC.
• Brian Ou
• Anna B. Packer, PHD
• Madeline Marie Perket, BSN, RN, RNFA, CNOR
• Roger Phelps, M.D.
• Piedmont Dental by Design
• Piedmont Unified School District
• Christopher Rapoport, M.S.W.
• Reinaldo J Negron DDS, Inc (Piedmont Pediatric Dentistry)
• Jennifer Rinna Hildreth

• Mental Health Counselor in Piedmont, CA
• Providers in Piedmont, CA by specialty
• Mental Health Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 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.

Verify at the official NPI Registry.