Phylea C Daniels-McCoy

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

25438 Issued in MD

Practice address

1014 W 36TH St Unit 58
Baltimore, MD 21211-2415

Phone

(667) 305-0447

NPI assigned

Oct 21, 2019

Last updated

Jan 21, 2023By 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 MD

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, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Exodus Behavioral Health LLCGroup PAC ID 9931514247, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Exodus Behavioral Health LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Baltimore, MD
  • NPI 1013535442
  Medicare reassignment Care Compare group NPD
• The Center for Therapeutic Change, LLC

  • Clinical Social Worker
  • Baltimore, MD
  • NPI 1356056709
  NPD Authorized official
• Exodus Behavioral Health, LLC

  • Adult Mental Health Clinic/Center
  • Baltimore, MD
  • NPI 1124633656
  NPD

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

{
    "created_epoch": "1571616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674259200000",
    "number": "1619510922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1014 W 36TH ST UNIT 58",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212112415",
            "telephone_number": "667-305-0447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1014 W 36TH ST UNIT 58",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212112415",
            "telephone_number": "667-305-0447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANIELS-MCCOY",
        "first_name": "PHYLEA",
        "middle_name": "C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-21",
        "last_updated": "2023-01-21",
        "certification_date": "2023-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "25438",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Linda Daniel, DPT
• Shreya Daniel
• Tyler Danielewicz
• Jill Ann Daniell, CRNP
• Daniels Family Community Healthcare LLC
• Cynthia Daniels
• Erin Daniels
• Hannah Daniels
• Jade Daniels
• John F Thomas Daniels II, D.D.S.

• Clinical Social Worker in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Clinical Social Worker in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2023; 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.