Natasha Melanie Phillips, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

97456 Issued in CA

Practice address

3560 Pine Ave
Long Beach, CA 90807-3816

Phone

(424) 242-2690

NPI assigned

Oct 14, 2020

Sex

Female

Sole proprietor

Yes

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

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 and National Provider Directory roles.

• Moonview Counseling Licensed Clinical Social Worker Corporation

  • Clinical Social Worker
  • Long Beach, CA
  • NPI 1902523772
  NPD Authorized official

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

{
    "created_epoch": "1602633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666483200000",
    "number": "1366040040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3711 LONG BEACH BLVD # 4550",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908073315",
            "telephone_number": "424-242-2690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3560 PINE AVE",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908073816",
            "telephone_number": "424-242-2690"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3711 Long Beach Blvd # 4550",
            "address_purpose": "LOCATION",
            "city": "Long Beach",
            "state": "CA",
            "postal_code": "908073315",
            "country_code": "US",
            "telephone_number": "424-242-2690",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "NATASHA",
        "middle_name": "MELANIE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-14",
        "last_updated": "2022-10-23",
        "certification_date": "2022-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "97456",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marissa Philip, NP-BC
• Ronald J. Philipp, D.O.
• Dawnedra Phillips
• Emily Phillips, RDN, PA-C
• Kiona Danielle Phillips
• Phil G Phillips
• Travis Shawn Phillips
• Philomena Physician Assistant Services Inc
• Phnom Pich Pharmacy Inc
• Phnom Pich Pharmacy Inc

• Clinical Social Worker in Long Beach, CA
• Providers in Long Beach, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2022; 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.