Phillip Squibb

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6673 Issued in OR

Practice address

1803 Main St
Klamath Falls, OR 97601-2636

Phone

(541) 591-4384

NPI assigned

Sep 28, 2011

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Squibb Counseling Services, LLC

  • Social Worker
  • Klamath Falls, OR
  • NPI 1679257539
  NPD Authorized official

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

{
    "created_epoch": "1317168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769126400000",
    "number": "1295018000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 62",
            "city": "KLAMATH FALLS",
            "state": "OR",
            "postal_code": "976010004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1803 MAIN ST",
            "city": "KLAMATH FALLS",
            "state": "OR",
            "postal_code": "976012636",
            "telephone_number": "541-591-4384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SQUIBB",
        "first_name": "PHILLIP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-09-28",
        "last_updated": "2026-01-23",
        "certification_date": "2026-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "6673",
            "primary": true
        },
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Spillane
• Vanessa Spillane, LPN
• Diana Michelle Spindor
• Spokes Unlimited
• Squibb Counseling Services, LLC
• SRCH Chiropractic Clinic
• Keith Allan Glenn SRCH, D.C.
• Guy Edward Stach, QMHA
• Bobijo Staffler, FNP
• Angela Marie Stafford

• Clinical Social Worker in Klamath Falls, OR
• Providers in Klamath Falls, OR by specialty
• Clinical Social Worker in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2026; 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.