Active NPI
Ryan A Phillips
- School Social Worker
- Tacoma, WA
National Provider Identifier
1336968221
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Social Worker
- Practice address
- 6201 Pacific Ave Ste C3
Tacoma, WA 98408-7423 - Phone
- (253) 363-8853
- NPI assigned
- Oct 8, 2024
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| School Social Worker | 1041S0200X | WA | Primary |
Addresses
Primary practice location
6201 Pacific Ave Ste C3
Tacoma, WA 98408-7423
Mailing address
409 S 23Rd St Apt 417
Tacoma, WA 98402-2905
Phone (434) 848-5974
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Life Transitions L.L.C. | Current | Accepting new patients |
Locations
6201 Pacific Ave
Ste C3
Tacoma, WA 98408
Phone (253) 363-1453
Organizations & group practices 1
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.
-
dba Life Transitions
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Tacoma, WA
- NPI 1609374040
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1728345600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1728345600000",
"number": "1336968221",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "409 S 23RD ST APT 417",
"city": "TACOMA",
"state": "WA",
"postal_code": "984022905",
"telephone_number": "434-848-5974"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6201 PACIFIC AVE STE C3",
"city": "TACOMA",
"state": "WA",
"postal_code": "984087423",
"telephone_number": "253-363-8853"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHILLIPS",
"first_name": "RYAN",
"middle_name": "A",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-10-08",
"last_updated": "2024-10-08",
"certification_date": "2024-10-07",
"status": "A"
},
"taxonomies": [
{
"code": "1041S0200X",
"taxonomy_group": "",
"desc": "Social Worker, School",
"state": "WA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tacoma, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.