Berry Phillips, LMSW
Individual provider Active NPI Social Worker · Weston, CT
NPI 1245112754 · NPPES record last updated Jul 24, 2025
Key facts
- NPI
- 1245112754
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- License
- 127769 (NY)
- Practice address
- 6 Stillwater LN
Weston, CT 06883-1601 - Phone
- (646) 853-4800
- NPI assigned
- Jul 24, 2025
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 127769 | NY | MD | Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 127769 | NY | Yes |
Addresses
Primary practice location
6 Stillwater LN
Weston, CT 06883-1601
Mailing address
6 Stillwater LN
Weston, CT 06883-1601
Phone (646) 853-4800
Other providers in Weston, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 24, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.