Individual provider Active NPI

Sarah Phillips, LCSW

  • Clinical Social Worker
  • Jackson, NJ
National Provider Identifier
1639686447
Registry record updated Oct 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC05813200 Issued in NJ
Practice address
4216 Fairview LN W
Jackson, NJ 08527-3610
Phone
(347) 364-0228
NPI assigned
Jan 2, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 6, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 086352 NY
Clinical Social Worker 1041C0700X 44SC05813200 NJ Primary

Addresses

Primary practice location

4216 Fairview LN W
Jackson, NJ 08527-3610

Mailing address

4216 Fairview LN W
Jackson, NJ 08527-3610
Phone (347) 364-0228

Other practice location 1

504 Aldrich Rd Ste 2C
Howell, NJ 07731-1939
Phone (201) 822-5944

Other identifiers 1

IdentifierTypeStateIssuer
00000OtherN/A

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
44SC05813200NJMDClinical Social Worker
086352NYMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1514851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633478400000",
    "number": "1639686447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4216 FAIRVIEW LN W",
            "city": "JACKSON",
            "state": "NJ",
            "postal_code": "085273610",
            "telephone_number": "347-364-0228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4216 FAIRVIEW LN W",
            "city": "JACKSON",
            "state": "NJ",
            "postal_code": "085273610",
            "telephone_number": "347-364-0228"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "504 Aldrich Rd Ste 2C",
            "address_purpose": "LOCATION",
            "city": "Howell",
            "state": "NJ",
            "postal_code": "077311939",
            "country_code": "US",
            "telephone_number": "201-822-5944",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "SARAH",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-01-02",
        "last_updated": "2021-10-06",
        "certification_date": "2021-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "086352",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05813200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "N/A",
            "identifier": "00000",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2021; 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.