Lisa Phillips, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW 9195 Issued in FL

Practice address

2821 Buttonwood Ave
Miramar, FL 33025-2417

Phone

(954) 367-3683

NPI assigned

Feb 22, 2011

Last updated

Sep 26, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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 FL

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• 3Am Counseling Services, LLC

  • Mental Health Counselor
  • Kissimmee, FL
  • NPI 1447835400
  Medicare reassignment NPD

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

{
    "created_epoch": "1298332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664150400000",
    "number": "1568769925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "436 FIELDSTREAM WEST BLVD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328257219",
            "telephone_number": "321-303-5491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2821 BUTTONWOOD AVE",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330252417",
            "telephone_number": "954-367-3683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "LISA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-02-22",
        "last_updated": "2022-09-26",
        "certification_date": "2022-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW 9195",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pharmarx Inc
• Pharmarx Inc (PharmaRx)
• Wesly Phebe
• Elsa Daniella Philippe, PA-C
• Phillcare LLC
• Tamika Phillips
• John Tassy Philord, ARNP, NP-C
• Phoenix Clinic Inc of Broward
• Physical Medicine and Rehabilitation of S.E. Florida Inc
• Physical Therapy Assoc of Miramar

• Clinical Social Worker in Miramar, FL
• Providers in Miramar, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2022; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.