Individual provider Active NPI

Brianna Marie Fritsch Phillips, LCSW

  • Clinical Social Worker
  • Alton, IL
National Provider Identifier
1457624108
Registry record updated Jun 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149015118 Issued in IL
Practice address
108 Northport Dr
Alton, IL 62002-5904
Phone
(618) 466-0295
NPI assigned
Feb 10, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2026

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 149015118 IL Primary

Addresses

Primary practice location

108 Northport Dr
Alton, IL 62002-5904

Mailing address

108 Northport Dr
Alton, IL 62002-5904
Phone (618) 466-0295

Other names 1

  • Brianna Marie Fritsch Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL assistant@calmwatersresources.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20120608000247 IL Practitioner - Clinical Social Worker 8729242417 Reassigns benefits to 2 organizations

Care Compare profile

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

Practice addresses (Care Compare)

2615 Edwards St
Alton, IL 62002-3915
Phone (618) 462-4342

4 Memorial Dr
Suite 210
Alton, IL 62002-6704
Phone (618) 463-5905

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Illinois Healthcare Foundation, Inc. CurrentSince Jun 22, 2020 Accepting new patients
Southern Illinois Healthcare Foundation Inc Current Accepting new patients
Southern Illinois Healthcare Foundation Inc CurrentSince Jun 22, 2020 Accepting new patients

Locations

2615 Edwards St
Alton, IL 62002
Phone (618) 462-2331

4 Memorial Dr
Ste 210
Alton, IL 62002
Phone (618) 463-5905

2001 State St
East St Louis, IL 62205
Phone (618) 271-0204

Interoperability endpoints

  • Direct secure messaging: brianna.phillips.1@9559.direct.athenahealth.com

Organizations & group practices 4

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": "1328832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782259200000",
    "number": "1457624108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 NORTHPORT DR",
            "city": "ALTON",
            "state": "IL",
            "postal_code": "620025904",
            "telephone_number": "618-466-0295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 NORTHPORT DR",
            "city": "ALTON",
            "state": "IL",
            "postal_code": "620025904",
            "telephone_number": "618-466-0295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRITSCH PHILLIPS",
        "first_name": "BRIANNA",
        "middle_name": "MARIE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-02-10",
        "last_updated": "2026-06-24",
        "certification_date": "2026-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149015118",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "assistant@calmwatersresources.com",
            "affiliation": "N",
            "endpointDescription": "main office contact",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "108 Northport Dr",
            "city": "Alton",
            "state": "IL",
            "country_code": "US",
            "postal_code": "620025904",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "BRIANNA",
            "last_name": "FRITSCH",
            "middle_name": "MARIE",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Alton, IL

Sources for this page

Verify at the official NPI Registry.