Individual provider Active NPI

Megan Kristine Phillips, LISW

  • Clinical Social Worker
  • Lexington, SC
National Provider Identifier
1528545209
Registry record updated Jul 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
10390 Issued in SC
Practice address
108 Palmetto Park Blvd Ste D
Lexington, SC 29072-7969
Phone
(803) 898-1400
NPI assigned
Jul 25, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 25, 2018

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 10390 SC Primary

Addresses

Primary practice location

108 Palmetto Park Blvd Ste D
Lexington, SC 29072-7969

Mailing address

108 Palmetto Park Blvd Ste D
Lexington, SC 29072-7969
Phone (803) 898-1400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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
I20181003002139 SC Practitioner - Clinical Social Worker 9830441716 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2013
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Mt.Hebron Pastoral Counseling ServiceGroup PAC ID 6608014394, 5 clinicians

Practice addresses (Care Compare)

3156 Leaphart Rd
West Columbia, SC 29169-3024
Phone (803) 791-0495

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10390SCMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Mt. Hebron Counseling Services Clinical CurrentSince Apr 1, 2024 Accepting new patients
South Carolina Dept of Mental Health Accounting Office Current Accepting new patients

Organizations & group practices 2

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": "1532476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532476800000",
    "number": "1528545209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 PALMETTO PARK BLVD STE D",
            "city": "LEXINGTON",
            "state": "SC",
            "postal_code": "290727969",
            "telephone_number": "803-898-1400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 PALMETTO PARK BLVD STE D",
            "city": "LEXINGTON",
            "state": "SC",
            "postal_code": "290727969",
            "telephone_number": "803-898-1400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "MEGAN",
        "middle_name": "KRISTINE",
        "credential": "LISW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-07-25",
        "last_updated": "2018-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "SC",
            "license": "10390",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, SC

Sources for this page

Verify at the official NPI Registry.