Phillip H Emerson, LISW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

I.2002488 Issued in OH

Practice address

14701 Detroit Ave Ste 775
Lakewood, OH 44107-4120

Phone

(216) 315-3570

Fax

(216) 228-1610

NPI assigned

Aug 2, 2017

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

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 and National Provider Directory roles.

• Phillip Emerson Services, LLC

  • Clinical Social Worker
  • Lakewood, OH
  • NPI 1306419049
  NPD Authorized official
• Allied Behavioral Health Services, Incorporated

  • Community/Behavioral Health Agency
  • Fairview Park, OH
  • NPI 1942637491
  NPD (past)

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

{
    "created_epoch": "1501632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644883200000",
    "number": "1265956098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14701 DETROIT AVE",
            "address_2": "STE 775",
            "city": "LAKEWOOD",
            "state": "OH",
            "postal_code": "441074120",
            "telephone_number": "216-315-3570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14701 DETROIT AVE STE 775",
            "city": "LAKEWOOD",
            "state": "OH",
            "postal_code": "441074120",
            "telephone_number": "216-315-3570",
            "fax_number": "216-228-1610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EMERSON",
        "first_name": "PHILLIP",
        "middle_name": "H",
        "name_prefix": "Mr.",
        "credential": "LISW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-08-02",
        "last_updated": "2022-02-15",
        "certification_date": "2022-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.2002488",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0311599",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OHIO LISW LICENSE NUMBER",
            "identifier": "I.2002488",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kristen A Ekman, MD
• Mourad El-Gazzar, MD
• Laureen M Ellis, NP-C
• Bernadette Elston
• Elise Elston
• Emily Forsgren DC LLC
• Emily Perez-Stable Emily Perez-Stable
• Thomas E Emmert, DPM
• Empowercare Lakewood, LLC
• Tessa Endress, AT

• Clinical Social Worker in Lakewood, OH
• Providers in Lakewood, OH by specialty
• Clinical Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2022; 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.