Mary Jeanne Phipps, MSW, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LW00004635 Issued in WA

Practice address

2611 NE 125TH St
Ste 202
Seattle, WA 98125-4374

Phone

(206) 362-2607

NPI assigned

Nov 18, 2009

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1258502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522886400000",
    "number": "1558699215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2611 NE 125TH ST",
            "address_2": "SUITE 107",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981254373",
            "telephone_number": "206-362-2607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2611 NE 125TH ST",
            "address_2": "STE 202",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981254374",
            "telephone_number": "206-362-2607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHIPPS",
        "first_name": "MARY JEANNE",
        "credential": "MSW, LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-11-18",
        "last_updated": "2018-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW00004635",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexi J Phinney, MD
• Deana Marlor Phinney
• Phinneywood Speech & Language, LLC
• Barbara T Phippard, RD
• Madeline Ariana Phipps, ARNP
• Stephen Matthew Phipps, ND, PHD
• Warren T Phipps, MD
• William Sherwin Phipps, M.D.
• Phiroce Ishaque, LLC
• Kelvin Pho

• 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 Apr 5, 2018; 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.