Marietta Virginia Phillips, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0318 Issued in AK

Practice address

673MDG, 5955 Zeamer Avenue
Jber
Anchorage, AK 99506

Phone

(907) 384-1517

NPI assigned

Jan 13, 2007

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

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.

• Providence Health & Services- Washington

  • Critical Care Medicine (Internal Medicine) Physician
  • Anchorage, AK
  • NPI 1093956278

  Clinical

  NPD
• City of Alexandria

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Alexandria, VA
  • NPI 1447279658
  NPD
• City of Alexandria

  • Ambulance
  • Alexandria, VA
  • NPI 1902970593
  NPD
• Inneractions Counseling and Eap Associates

  • Clinical Social Worker
  • Anchorage, AK
  • NPI 1255653168
  NPD (past)

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

{
    "created_epoch": "1168646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557360000000",
    "number": "1295886794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "673MDG, 5955 ZEAMER AVENUE",
            "address_2": "JBER",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "99506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "673MDG, 5955 ZEAMER AVENUE",
            "address_2": "JBER",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "99506",
            "telephone_number": "907-384-1517"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "725 Christensen Dr",
            "address_2": "Suite 2",
            "address_purpose": "LOCATION",
            "city": "Anchorage",
            "state": "AK",
            "postal_code": "995012130",
            "country_code": "US",
            "telephone_number": "907-677-1814 x3",
            "fax_number": "907-677-1369",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "MARIETTA",
        "middle_name": "VIRGINIA",
        "name_prefix": "Miss",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-13",
        "last_updated": "2019-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AK",
            "license": "0318",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MILITARY",
            "identifier": "XXXXXXXXXX",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Erika Phillips
• Heather Anne Phillips
• Latara Michelle Phillips
• Lynette Phillips, RN
• Mara Phillips
• Mercy Phillips
• Nicole Phillips, PHARMD
• Paula Leslie Phillips, LPC
• Sara D Phillips, LMP,CMT
• Selina Phillips

• Clinical Social Worker in Anchorage, AK
• Providers in Anchorage, AK by specialty
• Clinical Social Worker in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2019; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.