Individual provider Active NPI

Deanna Phillips, LCSW

  • Clinical Social Worker
  • Somerset, KY
National Provider Identifier
1215634902
Registry record updated Jun 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
401 S Main St Unit 2
Somerset, KY 42501-2016
Phone
(606) 451-8805
Fax
(606) 451-3028
NPI assigned
Feb 13, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2024

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 KY Primary

Addresses

Primary practice location

401 S Main St Unit 2
Somerset, KY 42501-2016

Mailing address

401 S Main St Unit 2
Somerset, KY 42501-2016
Phone (606) 451-8805

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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

Enrollment IDStateProvider typePAC IDDetails
I20230324002145 KY Practitioner - Clinical Social Worker 8224402656 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

401 S Main St
Unit 2
Somerset, KY 42501-2016
Phone (606) 541-1067

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
360Care Services of Kentucky LLC Clinical CurrentSince Sep 23, 2023 Accepting new patients
360Care Services of Kentucky LLC CurrentSince Sep 23, 2023 Accepting new patients
Quest Counseling Clinical CurrentSince Mar 17, 2023 Accepting new patients
Evolve Therapy and Wellness Clinical CurrentSince Jan 2, 2024 Accepting new patients

Locations

12910 Shelbyville Rd
Ste 300
Louisville, KY 40243
Phone (502) 214-0693

4350 Brownsboro Rd
Ste 200
Louisville, KY 40207
Phone (513) 771-7483

401 S Main St
Unit 2
Somerset, KY 42501
Phone (606) 451-8805

600 Clifty St
Ste 2
Somerset, KY 42503
Phone (606) 678-0026

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 4

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": "1676246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718582400000",
    "number": "1215634902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 S MAIN ST UNIT 2",
            "city": "SOMERSET",
            "state": "KY",
            "postal_code": "425012016",
            "telephone_number": "606-451-8805",
            "fax_number": "606-451-3028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 S MAIN ST UNIT 2",
            "city": "SOMERSET",
            "state": "KY",
            "postal_code": "425012016",
            "telephone_number": "606-451-8805",
            "fax_number": "606-451-3028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "DEANNA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-13",
        "last_updated": "2024-06-17",
        "certification_date": "2024-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Somerset, KY

Sources for this page

Verify at the official NPI Registry.