Individual provider Active NPI

Julie Phillips, LCSW

  • Clinical Social Worker
  • Nashville, TN
National Provider Identifier
1356087092
Registry record updated Nov 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
9386 Issued in TN
Practice address
555 Marriott Dr Ste 315
Nashville, TN 37214-5088
Phone
(323) 205-7088
Fax
(833) 419-0181
NPI assigned
May 6, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2024

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 SWB-2024-1127 NM
Clinical Social Worker 1041C0700X 9386 TN Primary

Addresses

Primary practice location

555 Marriott Dr Ste 315
Nashville, TN 37214-5088

Mailing address

331 Washakie St
Lander, WY 82520-2855
Phone (423) 509-5167

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, NM2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20250106002586 TN Practitioner - Clinical Social Worker 3971031881 Reassigns benefits to 1 organization
I20250227003955 NM Practitioner - Clinical Social Worker 3971031881 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Lighted Path LLCGroup PAC ID 6103312095, 6 clinicians

Practice addresses (Care Compare)

215 Cowboy Way
Suite 106
Edgewood, NM 87015-9616
Phone (505) 508-7071

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SWB-2024-1127NMMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
The Lighted Path LLC CurrentSince Dec 23, 2025 Accepting new patients
Mental Health Specialty Group PA CurrentSince Feb 26, 2025 Accepting new patients
Grow Healthcare Group PA Clinical CurrentSince Nov 7, 2024 Accepting new patients
Uplift & Inspire,LLC PastSince May 1, 2022 Accepting new patients

Locations

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

500 Marquette Ave NW
Albuquerque, NM 87102
Phone (505) 429-5750

500 Marquette Ave NW
Ste 1200
Albuquerque, NM 87102
Phone (505) 295-6685

215 Cowboy Way
Ste 106
Edgewood, NM 87015
Phone (505) 508-0771

40 Burton Hills Blvd
Ste 200
Nashville, TN 37215
Phone (615) 257-8410

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1651795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731974400000",
    "number": "1356087092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "331 WASHAKIE ST",
            "city": "LANDER",
            "state": "WY",
            "postal_code": "825202855",
            "telephone_number": "423-509-5167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 MARRIOTT DR STE 315",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372145088",
            "telephone_number": "323-205-7088",
            "fax_number": "833-419-0181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "JULIE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-06",
        "last_updated": "2024-11-19",
        "certification_date": "2024-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NM",
            "license": "SWB-2024-1127",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TN",
            "license": "9386",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

Verify at the official NPI Registry.