Wendy G Phillips, L.C.S.W.
Individual provider Active NPI Clinical Social Worker · King William, VA
NPI 1235537218 · NPPES record last updated Sep 25, 2023
Key facts
- NPI
- 1235537218
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 0904008658 (VA)
- Practice address
- 1041 Sharon Rd Ste 201
King William, VA 23086-3344 - Phone
- (804) 769-2751
- Fax
- (804) 769-3125
- NPI assigned
- Dec 8, 2014
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150406001529 | VA | Practitioner - Clinical Social Worker | 0446578397 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0904008658 | VA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thrive Counseling LLC | Current |
Accepting new patients | |
| Henrico Area Mental Heatlh and Developmental Services | Current |
Accepting new patients |
Locations
10299 Woodman Rd
Glen Allen, VA 23060
Phone (804) 261-8571
1901 E Franklin St
Ste 108
Richmond, VA 23223
Phone (804) 331-2570
5310 Markel Rd
Ste 102
Richmond, VA 23230
Phone (804) 312-5498
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 0904008658 | VA | Yes |
Addresses
Primary practice location
1041 Sharon Rd Ste 201
King William, VA 23086-3344
Mailing address
10299 Woodman Rd
Glen Allen, VA 23060-4419
Phone (804) 727-8488
Other providers in King William, VA
- Isabelle Kress
- Caitlin Elizabeth Lange
- Timothy Wayne McDaniel
- Philip Mitchell
- Pamunkey Indian Tribe
- Morgan Plowman
- Tiffany E Polo
- Robert M Rose
- Kristen Russell
- Kristine Shafer
All providers in King William, VA · Clinical Social Worker in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 25, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.