Phillip Carr, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LW60494715 Issued in WA

Practice address

8400 5TH Ave NE Unit 8
Seattle, WA 98115-4163

Phone

(206) 954-3348

Fax

(206) 566-6913

NPI assigned

Mar 25, 2011

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

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.

• Good Intention Counseling Services, PLLC

  • Community/Behavioral Health Agency
  • Seattle, WA
  • NPI 1295184133
  NPD Authorized official

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

{
    "created_epoch": "1301011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634774400000",
    "number": "1417256744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8400 5TH AVE NE UNIT 8",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981154163",
            "telephone_number": "206-954-3348",
            "fax_number": "206-566-6913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8400 5TH AVE NE UNIT 8",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981154163",
            "telephone_number": "206-954-3348",
            "fax_number": "206-566-6913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARR",
        "first_name": "PHILLIP",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-03-25",
        "last_updated": "2021-10-21",
        "certification_date": "2021-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW60494715",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "WA",
            "license": "SC60189451",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Catherine Ann Carr, CNM, DRPH
• Chantelle Carr
• Lauren Jane Carr, MSN, MPF, FNP-C
• Lauryn Louise Carr, PA-C
• Matthew Joseph Carr
• Rotonya L Carr, MD
• Kevin G Carrabine
• John Carrel, LMP
• Brian Christopher Carrell
• Jaqulyn Nikole Carrell, M.ED, ATC, LAT, CKTP

• Clinical Social Worker in Seattle, WA
• Providers in Seattle, WA by specialty
• Clinical Social Worker in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2021; 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.