Individual provider Active NPI

Darell Lamont Phillips, LCSW,

  • Social Worker
  • Pittsburgh, PA
National Provider Identifier
1366772626
Registry record updated Jan 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
SW127557 Issued in PA
Practice address
1824 Murray Ave
Suite, 304
Pittsburgh, PA 15217-1655
Phone
(412) 327-2189
Fax
(412) 344-8076
NPI assigned
Jan 10, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 6, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X SW127557 PA Primary

Addresses

Primary practice location

1824 Murray Ave
Suite, 304
Pittsburgh, PA 15217-1655

Mailing address

1824 Murray Ave
Suite 304
Pittsburgh, PA 15217-1655
Phone (412) 327-2189

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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

Enrollment IDStateProvider typePAC IDDetails
I20150323000474 PA Practitioner - Clinical Social Worker 0345567863 Practice locations: Pittsburgh, PA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1824 Murray Ave
Suite 304
Pittsburgh, PA 15217-1655
Phone (412) 327-2189

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SW127557PAMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1263081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452038400000",
    "number": "1366772626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1824 MURRAY AVE",
            "address_2": "SUITE 304",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152171655",
            "telephone_number": "412-327-2189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1824 MURRAY AVE",
            "address_2": "SUITE, 304",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152171655",
            "telephone_number": "412-327-2189",
            "fax_number": "412-344-8076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "DARELL",
        "middle_name": "LAMONT",
        "credential": "LCSW,",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-01-10",
        "last_updated": "2016-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "PA",
            "license": "SW127557",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.