Individual provider Active NPI

Phillip Stanley Bryson, M.S.W.

  • Clinical Social Worker
  • Denver, CO
National Provider Identifier
1326585324
Registry record updated Jan 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW09923044 Issued in CO
Practice address
1169 N Lafayette St
Denver, CO 80218-3114
Phone
(813) 951-7058
NPI assigned
Jan 27, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X CSW09923044 CO Primary
Clinical Social Worker 1041C0700X SW10452 FL

Addresses

Primary practice location

1169 N Lafayette St
Denver, CO 80218-3114

Mailing address

1169 N Lafayette St
Denver, CO 80218-3114
Phone (813) 951-7058

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
CSW09923044COMDClinical Social Worker
SW10452FLMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1485475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485475200000",
    "number": "1326585324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1169 N LAFAYETTE ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802183114",
            "telephone_number": "813-951-7058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1169 N LAFAYETTE ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802183114",
            "telephone_number": "813-951-7058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRYSON",
        "first_name": "PHILLIP",
        "middle_name": "STANLEY",
        "name_prefix": "Mr.",
        "credential": "M.S.W.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-01-27",
        "last_updated": "2017-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "CSW09923044",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW10452",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2017; 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.