Andi Marie Phillips, MSW, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149015918 Issued in IL

Practice address

100 N Chestnut St Ste 235
Champaign, IL 61820-4872

Phone

(217) 693-9280

NPI assigned

Jul 21, 2011

Last updated

Oct 3, 2025By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Desired Futures Counseling & Consulting, P.L.L.C.

  • Clinical Social Worker
  • Champaign, IL
  • NPI 1134018088
  NPD Authorized official

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

{
    "created_epoch": "1311206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759449600000",
    "number": "1265720460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "907 E ILLINOIS ST",
            "city": "URBANA",
            "state": "IL",
            "postal_code": "618013510",
            "telephone_number": "217-417-6056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 N CHESTNUT ST STE 235",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "618204872",
            "telephone_number": "217-693-9280"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "907 E Illinois St",
            "address_purpose": "LOCATION",
            "city": "Urbana",
            "state": "IL",
            "postal_code": "618013510",
            "country_code": "US",
            "telephone_number": "217-417-6056",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "ANDI",
        "middle_name": "MARIE",
        "credential": "MSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-07-21",
        "last_updated": "2025-10-03",
        "certification_date": "2025-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149015918",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristy Pezzino, PHARMD
• Janna Deann Pflugmacher, APRN, CNP
• Darby Marie Pfoff, FNP-C
• Philco Dental Group LLC - Champaign
• Jincy Philip
• Kenzie Michelle Phillips
• Eliza Phillpott, RBT
• Lillie Phipps, RBT
• Alina M. Phoenix, H.I.S.
• Joanna L Pickering

• Clinical Social Worker in Champaign, IL
• Providers in Champaign, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2025; 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.