Organization Active NPI

Jane Phillips, PHD, LCSW & Associates, PLLC

  • Clinical Social Worker
  • Fort Worth, TX
National Provider Identifier
1265817043
Registry record updated Jul 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
34663 Issued in TX
Legal business name
JANE PHILLIPS, PHD, LCSW & ASSOCIATES, PLLC
Practice address
4200 S Hulen St
Suite 676
Fort Worth, TX 76109-4914
Phone
(682) 225-6990
Fax
(817) 732-3000
NPI assigned
Jul 22, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2015

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

Authorized official

Name
Dr. Jane Phillips, LCSWNPI 1164582433
Title
Ceo
Phone
(682) 225-6990

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 34663 TX Primary

Addresses

Primary practice location

4200 S Hulen St
Suite 676
Fort Worth, TX 76109-4914

Mailing address

3909 Paluxy Hwy
Granbury, TX 76048-5538
Phone (682) 225-6990

National Provider Directory

National Provider Directory

Locations

4200 S Hulen St
Ste 676
Fort Worth, TX 76109
Phone (682) 225-6990

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1437523200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437523200000",
    "number": "1265817043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3909 PALUXY HWY",
            "city": "GRANBURY",
            "state": "TX",
            "postal_code": "760485538",
            "telephone_number": "682-225-6990",
            "fax_number": "817-732-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4200 S HULEN ST",
            "address_2": "SUITE 676",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761094914",
            "telephone_number": "682-225-6990",
            "fax_number": "817-732-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JANE PHILLIPS, PHD, LCSW & ASSOCIATES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-22",
        "last_updated": "2015-07-22",
        "status": "A",
        "authorized_official_last_name": "PHILLIPS",
        "authorized_official_first_name": "JANE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "682-225-6990",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "34663",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2015; 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.