Patricia A Phelps, MSW, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

1018 Issued in NH

Practice address

16 Franklin St, Unit D
Exeter, NH 03833

Phone

(207) 752-3756

NPI assigned

Jul 17, 2006

Last updated

Dec 14, 2015By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Patricia Myers Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• York Hospital

  • General Acute Care Hospital
  • York, ME
  • NPI 1376528398
  NPD (past)

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1450051200000",
    "number": "1225056559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "375 BAY RD",
            "city": "DURHAM",
            "state": "NH",
            "postal_code": "038243438",
            "telephone_number": "207-752-3756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 FRANKLIN ST, UNIT D",
            "city": "EXETER",
            "state": "NH",
            "postal_code": "03833",
            "telephone_number": "207-752-3756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHELPS",
        "first_name": "PATRICIA",
        "middle_name": "A",
        "credential": "MSW, LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-17",
        "last_updated": "2015-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NH",
            "license": "1018",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30422429",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE CROSS",
            "identifier": "14Y001232NH02",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PATRICIA",
            "last_name": "MYERS",
            "credential": "MSW, LICSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Susan Pelczar, NP
• Jon Pelletier, PA-C
• Alicia Louise Perry, NP
• Jacqueline M Peterson
• Ainsley Anna Petroski, PA
• Phyllis Craig, PHD, Inc
• Christina Piccinonno, APRN
• Colin William Piekarski, LICSW
• Jane T Pillemer, PH.D.
• Camila Pineda Youniss, DMD

• Clinical Social Worker in Exeter, NH
• Providers in Exeter, NH by specialty
• Clinical Social Worker in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2015; 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.