Stephen William Phillips, LSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

44SL05266800 Issued in NJ

Practice address

1109 West Ave., 2ND Floor
Ocean City, NJ 08226-3350

Phone

(610) 909-0096

NPI assigned

Mar 13, 2008

Last updated

Jun 5, 2012By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1205366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1338854400000",
    "number": "1578734083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1109 WEST AVE., 2ND FLOOR",
            "city": "OCEAN CITY",
            "state": "NJ",
            "postal_code": "082263350",
            "telephone_number": "610-909-0096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1109 WEST AVE., 2ND FLOOR",
            "city": "OCEAN CITY",
            "state": "NJ",
            "postal_code": "082263350",
            "telephone_number": "610-909-0096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "STEPHEN",
        "middle_name": "WILLIAM",
        "name_prefix": "Mr.",
        "credential": "LSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-03-13",
        "last_updated": "2012-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "PA",
            "license": "SW122717",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NJ",
            "license": "44SL05266800",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ocean Pharmacy LLC. (Ocean Pharmacy)
• Ocean Point Counseling, LLC
• Ocvc, LLC
• Estella S. Pastrana, RPH
• Mikayla Hope Phillips, M.S., BCBA
• Paula Popilock
• Albert L Porreca Jr., DDS
• Sara Pustizzi, CCC-SLP
• Jeanne W Quain, OTR
• Gary W Raab, D.O.

• Social Worker in Ocean City, NJ
• Providers in Ocean City, NJ by specialty
• Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2012; 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.