Georgia Phillips, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0904003466 Issued in VA

Practice address

1300 Diamond Springs Rd
Suite 503
Virginia Beach, VA 23455-3645

Phone

(757) 656-1665

NPI assigned

Apr 12, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

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

Specialty

Clinical Social Worker

Education

Other, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Tidewater Psychotherapy ServicesGroup PAC ID 9335128305, 10 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Tidewater Psychotherapy Services

  • Social Worker
  • Virginia Beach, VA
  • NPI 1700830742
  Medicare reassignment Care Compare group NPD
• Tidewater Psychotherapy Services

  • Addiction (Substance Use Disorder) Counselor
  • Virginia Beach, VA
  • NPI 1164536496
  NPD

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

{
    "created_epoch": "1460419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1460419200000",
    "number": "1538523972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 DIAMOND SPRINGS ROAD",
            "address_2": "SUITE 503",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234553645",
            "telephone_number": "757-656-1665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 DIAMOND SPRINGS RD",
            "address_2": "SUITE 503",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234553645",
            "telephone_number": "757-656-1665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "GEORGIA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-04-12",
        "last_updated": "2016-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904003466",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cassandra Phillips, CSAC-S
• Christopher Wayne Phillips
• Cristen Nicole Phillips, DMD
• Danielle Phillips
• Derek Michael Phillips, PHARMD
• Jacob Isaiah Phillips, PSY.D.
• Janiya T Phillips, LPC
• Jillian Marie Phillips
• Joshua Phillips, LPC-R
• Sharay M Phillips

• Clinical Social Worker in Virginia Beach, VA
• Providers in Virginia Beach, VA by specialty
• Clinical Social Worker in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.