Andrea Dae Allen Phillips, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

7745 S 2325 E
Cottonwood Heights, UT 84121-5668

Phone

(801) 671-4905

NPI assigned

Sep 21, 2009

Last updated

Mar 20, 2012By the provider in NPPES

Sex

Female

Sole proprietor

No

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)

Not 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.

• Equinox Counseling Services LLC

  • Clinical Social Worker
  • Holladay, UT
  • NPI 1043577877
  NPD (past)

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

{
    "created_epoch": "1253491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332201600000",
    "number": "1326372541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7745 S 2325 E",
            "city": "COTTONWOOD HEIGHTS",
            "state": "UT",
            "postal_code": "841215668",
            "telephone_number": "801-671-4905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7745 S 2325 E",
            "city": "COTTONWOOD HEIGHTS",
            "state": "UT",
            "postal_code": "841215668",
            "telephone_number": "801-671-4905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "ANDREA",
        "middle_name": "DAE ALLEN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-21",
        "last_updated": "2012-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cyndi Lynn Peterson
• Tyanna Petty-Dailey
• Grace Petty
• Teri Phelps
• Alexa Phillips
• Isaac Michael Phillips, LCSW
• Pinnacle Point Counseling, LLC
• Alexis Daniels Player
• Broderick Pollmann
• Alek Ponce

• Clinical Social Worker in Cottonwood Heights, UT
• Providers in Cottonwood Heights, UT by specialty
• Clinical Social Worker in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2012; 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.