Nancy Jean Phillips, LCSW-R

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

074101-1 Issued in NY

Practice address

3 Ohara Dr
Norwich, NY 13815-2046

Phone

(607) 334-8244

Fax

(607) 336-5779

NPI assigned

Aug 4, 2006

Last updated

Dec 14, 2010By 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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• New Hartford Psychological Services, PC

  • Community/Behavioral Health Agency
  • New Hartford, NY
  • NPI 1558559849
  Medicare reassignment NPD
• Catholic Charities of Chenango County

  • Mental Illness Community Based Residential Treatment Facility
  • Norwich, NY
  • NPI 1285027458
  NPD (past)
• Chenango County Catholic Charities

  dba Catholic Charities of Chenango County

  • Voluntary or Charitable Agency
  • Norwich, NY
  • NPI 1447318662
  NPD (past)
• Human Technologies

  dba Mental Health Connections

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Rome, NY
  • NPI 1417065426
  NPD (past)

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

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1292284800000",
    "number": "1336157247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11302 MILL ST",
            "city": "LEONARDSVILLE",
            "state": "NY",
            "postal_code": "13364",
            "telephone_number": "315-855-4623",
            "fax_number": "607-334-5779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 OHARA DR",
            "city": "NORWICH",
            "state": "NY",
            "postal_code": "138152046",
            "telephone_number": "607-334-8244",
            "fax_number": "607-336-5779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "NANCY",
        "middle_name": "JEAN",
        "credential": "LCSW-R",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-04",
        "last_updated": "2010-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "074101-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "11857016",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carolyn Joanne Pasternak, OTR/L
• Stephanie Marie Peltz, RPA-C
• Karen K Perkins, LMSW
• Laura Perkins, DPT
• Joseph Petro, MD
• Kevin Michael Pipher, DPT
• Carrieanne Pisani, PA
• Joseph Pisani, RPA-C
• Podiatry Services of Central New York, PC
• Harriet Elizena Jessica Popoola, PHARMD

• Clinical Social Worker in Norwich, NY
• Providers in Norwich, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2010; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.