Active NPI
Debra Phillips, LMSW
- Clinical Social Worker
- Larchmont, NY
National Provider Identifier
1295827699
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 062826-1
- Practice address
- 4 Chatsworth Ave
Larchmont, NY 10538-2946 - Phone
- (914) 630-0551
- NPI assigned
- Sep 30, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 062826-1 | NY | Primary |
Addresses
Primary practice location
4 Chatsworth Ave
Larchmont, NY 10538-2946
Mailing address
172 Clinton Ave
Dobbs Ferry, NY 10522-3033
Phone (914) 693-8353
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 062826-1 | NY | MD | Clinical Social Worker |
| 062826 | NY | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Mental Health Association of Westchester County - Social Care Network | Past | Accepting new patients | |
| The Mental Health Association of Westchester County, Inc. | Clinical | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Case Manager/Care Coordinator
- Tarrytown, NY
- NPI 1760320659
-
- Community/Behavioral Health Agency
- White Plains, NY
- NPI 1942306873
Clinical
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159574400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1295827699",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "172 CLINTON AVE",
"city": "DOBBS FERRY",
"state": "NY",
"postal_code": "105223033",
"telephone_number": "914-693-8353"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4 CHATSWORTH AVE",
"city": "LARCHMONT",
"state": "NY",
"postal_code": "105382946",
"telephone_number": "914-630-0551"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHILLIPS",
"first_name": "DEBRA",
"name_prefix": "Ms.",
"credential": "LMSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-09-30",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "062826-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Larchmont, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.