Active NPI
Susannah Shell-Phillips PLLC
- Clinical Social Worker
- Sioux City, IA
National Provider Identifier
1609590488
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- SUSANNAH SHELL-PHILLIPS PLLC
- Practice address
- 1101 4TH St FL 2
Sioux City, IA 51101-1952 - Phone
- (712) 490-0006
- NPI assigned
- Sep 27, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Susan Romanik
- Title
- Office Billing Manager
- Phone
- (402) 496-9966
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
1101 4TH St FL 2
Sioux City, IA 51101-1952
Mailing address
1515 N 129TH St
Omaha, NE 68154-1079
Phone (402) 496-9966
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1101 4th St
Fl 2
Sioux City, IA 51101
Phone (323) 366-0993
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Social Worker
- Sioux City, IA
- NPI 1114015922
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1664236800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1664236800000",
"number": "1609590488",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1515 N 129TH ST",
"city": "OMAHA",
"state": "NE",
"postal_code": "681541079",
"telephone_number": "402-496-9966",
"fax_number": "402-496-9499"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1101 4TH ST FL 2",
"city": "SIOUX CITY",
"state": "IA",
"postal_code": "511011952",
"telephone_number": "712-490-0006"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SUSANNAH SHELL-PHILLIPS PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-09-27",
"last_updated": "2022-09-27",
"certification_date": "2022-09-27",
"status": "A",
"authorized_official_last_name": "ROMANIK",
"authorized_official_first_name": "SUSAN",
"authorized_official_title_or_position": "OFFICE BILLING MANAGER",
"authorized_official_telephone_number": "402-496-9966"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sioux City, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.