Active NPI
Amy Jessica Philhower, MSW, LCSW
- Clinical Social Worker
- Warren, PA
National Provider Identifier
1245733765
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- CW020175
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SW134607 | PA | MD | Social Worker |
| CW020175 | PA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sunrise Collaborative, LLC. | Clinical | Current | 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.
-
- Clinical Social Worker
- Warren, PA
- NPI 1023553369
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.