Individual provider Active NPI

Dorothy Jennie Phillips, LCSW

  • Clinical Social Worker
  • Dallas, TX
National Provider Identifier
1396847745
Registry record updated Jul 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
25828 Issued in TX
Practice address
3500 Oak Lawn Ave Ste 300
Dallas, TX 75219-4349
Phone
(214) 642-3618
Fax
(972) 931-2317
NPI assigned
Sep 5, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 24, 2023

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 25828 TX Primary

Addresses

Primary practice location

3500 Oak Lawn Ave Ste 300
Dallas, TX 75219-4349

Mailing address

18484 Preston Rd Ste 102
Dallas, TX 75252-5474
Phone (214) 642-3618

Other identifiers 1

IdentifierTypeStateIssuer
0638827-01MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20110928000268 TX Practitioner - Clinical Social Worker 6204007099 Practice locations: Dallas, TX

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

3500 Oak Lawn Ave
Suite 300
Dallas, TX 75219-4349
Phone (214) 642-3618

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
25828TXMDProsthodontist

Practice roles

OrganizationSpecialtyStatusNew patients
Hamilton-Lucas Physicians PA Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1157414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690156800000",
    "number": "1396847745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18484 PRESTON RD STE 102",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752525474",
            "telephone_number": "214-642-3618",
            "fax_number": "972-931-2317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3500 OAK LAWN AVE STE 300",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752194349",
            "telephone_number": "214-642-3618",
            "fax_number": "972-931-2317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "DOROTHY",
        "middle_name": "JENNIE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-05",
        "last_updated": "2023-07-24",
        "certification_date": "2023-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "25828",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0638827-01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.