Phyllis C. Hancock, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

44SC04562600 Issued in NJ

Practice address

39 Phelps Ave
Cresskill, NJ 07626-2524

Phone

(201) 568-1646

NPI assigned

Jan 22, 2007

Last updated

Jun 16, 2014By 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

Enrolled in NJ

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

Specialty

Clinical Social Worker

Education

Other, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• St Marys Hospital

  • General Acute Care Hospital
  • Passaic, NJ
  • NPI 1699748996
  NPD (past)

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402876800000",
    "number": "1285788034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39 PHELPS AVE",
            "city": "CRESSKILL",
            "state": "NJ",
            "postal_code": "076262524",
            "telephone_number": "201-568-1646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39 PHELPS AVE",
            "city": "CRESSKILL",
            "state": "NJ",
            "postal_code": "076262524",
            "telephone_number": "201-568-1646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANCOCK",
        "first_name": "PHYLLIS",
        "middle_name": "C.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-22",
        "last_updated": "2014-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC04562600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marjorie Goldstein, MA, PT
• Philip Groot, P.T.
• Elissa R. Gross, PSY.D
• Russell F Guba Jr., MD
• Hyeryoung Gwie
• HCP Cresskill NJ Opco, LLC (Sunrise of Cresskill)
• HCP S-H Opco TRS, LLC
• HCP S-H Opco TRS, LLC (Sunrise of Cresskill)
• Health and Endurance Medical P.C.
• Jessica Henry, NP

• Clinical Social Worker in Cresskill, NJ
• Providers in Cresskill, NJ by specialty
• Clinical Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2014; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.