Individual provider Active NPI

Amy Jessica Philhower, MSW, LCSW

  • Clinical Social Worker
  • Warren, PA
National Provider Identifier
1245733765
Registry record updated Jan 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW020175 Issued in PA
Practice address
1048 Pennsylvania Ave W
Warren, PA 16365-1838
Phone
(724) 422-3928
Fax
(814) 313-1075
NPI assigned
Mar 11, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X SW134607 PA
Clinical Social Worker 1041C0700X CW020175 PA Primary

Addresses

Primary practice location

1048 Pennsylvania Ave W
Warren, PA 16365-1838

Mailing address

1048 Pennsylvania Ave W
Warren, PA 16365-1838
Phone (814) 853-8583

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20190328000455 PA Practitioner - Clinical Social Worker 5092055186 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SW134607PAMDSocial Worker
CW020175PAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Sunrise Collaborative, LLC. Clinical CurrentSince Jan 2, 2019 Accepting new patients

Locations

115 Pennsylvania Ave W
Ste B
Warren, PA 16365
Phone (724) 422-3928

1048 Pennsylvania Ave W
Warren, PA 16365
Phone (814) 230-9111

Organizations & group practices 1

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": "1520726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578182400000",
    "number": "1245733765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1048 PENNSYLVANIA AVE W",
            "city": "WARREN",
            "state": "PA",
            "postal_code": "163651838",
            "telephone_number": "814-853-8583",
            "fax_number": "814-313-1075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1048 PENNSYLVANIA AVE W",
            "city": "WARREN",
            "state": "PA",
            "postal_code": "163651838",
            "telephone_number": "724-422-3928",
            "fax_number": "814-313-1075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILHOWER",
        "first_name": "AMY",
        "middle_name": "JESSICA",
        "credential": "MSW, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-11",
        "last_updated": "2020-01-05",
        "certification_date": "2020-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "PA",
            "license": "SW134607",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW020175",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warren, PA

Sources for this page

Verify at the official NPI Registry.