Regina E Phillips, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CW012335 Issued in PA

Practice address

987 Old Eagle School Rd
Ste 719
Wayne, PA 19087

Phone

(610) 668-9304

Fax

(610) 971-0144

NPI assigned

Nov 22, 2006

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

State licenses

Practice roles

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.

• Bright Path Therapy & Associates, LLC.

  • Clinical Psychologist
  • Wayne, PA
  • NPI 1477042562
  NPD (past)
• Elders Counseling Group

  • Mental Health Counselor
  • Jenkintown, PA
  • NPI 1073545679
  NPD (past)
• Interface Psych Services, Inc

  • Clinical Psychologist
  • Jenkintown, PA
  • NPI 1659569135
  NPD (past)

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

{
    "created_epoch": "1164153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1276473600000",
    "number": "1295800241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "987 OLD EAGLE SCHOOL RD",
            "address_2": "STE 719",
            "city": "WAYNE",
            "state": "PA",
            "postal_code": "19087",
            "telephone_number": "610-668-9304",
            "fax_number": "610-971-0144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "987 OLD EAGLE SCHOOL RD",
            "address_2": "STE 719",
            "city": "WAYNE",
            "state": "PA",
            "postal_code": "19087",
            "telephone_number": "610-668-9304",
            "fax_number": "610-971-0144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "REGINA",
        "middle_name": "E",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-22",
        "last_updated": "2010-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW012335",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danielle Perfetti
• Michelle Perna
• Megan Alana Perrin, PHD
• Lenore Catherine Perrott, M.S.
• Peter E Rubin, MD PC
• Michele R Piccone, M.D.
• Allante D. Piner
• Pinnacle ENT Alliance LLC
• Stephanie Pitman, RPH
• David Pizzica

• Clinical Social Worker in Wayne, PA
• Providers in Wayne, PA by specialty
• Clinical Social Worker in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2010; 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.