Individual provider Active NPI

Kristy M Phillips, LCSW

  • Clinical Social Worker
  • Gadsden, AL
National Provider Identifier
1386978039
Registry record updated Sep 29, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
2239C Issued in AL
Practice address
1020 Tuscaloosa Ave
Gadsden, AL 35901-3005
Phone
(256) 546-4606
NPI assigned
Sep 29, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 2239C AL Primary

Addresses

Primary practice location

1020 Tuscaloosa Ave
Gadsden, AL 35901-3005

Mailing address

PO Box 97
Gadsden, AL 35902-0097
Phone (256) 492-0131

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20091014000046 AL Practitioner - Clinical Social Worker 5294871737 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
University of Alabama School of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Quality of Life Health Services IncGroup PAC ID 7810890902, 39 clinicians

Practice addresses (Care Compare)

1020 Tuscaloosa Ave
Gadsden, AL 35901-3005
Phone (256) 546-4606

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Quality of Life Health Services, Inc Current Accepting new patients
Quality of Life Health Services, Inc CurrentSince Jun 1, 2015 Accepting new patients
Quality of Life Health Services Inc Current Accepting new patients
Quality of Life Health Services Inc Current Accepting new patients
Quality of Life Health Services, Inc Current Accepting new patients
Quality of Life Health Services, Inc CurrentSince Jun 1, 2015 Accepting new patients
Quality of Life Health Services, Inc. Current Accepting new patients

Locations

2016 Main Ave SW
Cullman, AL 35055
Phone (256) 775-0230

1020 Tuscaloosa Ave
Gadsden, AL 35901
Phone (256) 546-4606

1409 Springfield Ave
Gadsden, AL 35903
Phone (256) 439-6383

502 N 27th St
Gadsden, AL 35904
Phone (256) 546-0073

1411 Piedmont Cutoff
Gadsden, AL 35903
Phone (205) 492-0131

420 N 6th St
Gadsden, AL 35901
Phone (256) 546-9907

Organizations & group practices 7

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": "1254182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1254182400000",
    "number": "1386978039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 97",
            "city": "GADSDEN",
            "state": "AL",
            "postal_code": "359020097",
            "telephone_number": "256-492-0131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 TUSCALOOSA AVE",
            "city": "GADSDEN",
            "state": "AL",
            "postal_code": "359013005",
            "telephone_number": "256-546-4606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "KRISTY",
        "middle_name": "M",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-29",
        "last_updated": "2009-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AL",
            "license": "2239C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gadsden, AL

Sources for this page

Verify at the official NPI Registry.