Patricia I Phillips, LCSW-R

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

035501-1 Issued in NY

Practice address

81 Miller Rd
Castleton, NY 12033-4035

Phone

(518) 213-0427

NPI assigned

Dec 29, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1167350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1241568000000",
    "number": "1679639181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 95",
            "city": "CASTLETON",
            "state": "NY",
            "postal_code": "120330095",
            "telephone_number": "518-213-0427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "81 MILLER RD",
            "city": "CASTLETON",
            "state": "NY",
            "postal_code": "120334035",
            "telephone_number": "518-213-0427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "PATRICIA",
        "middle_name": "I",
        "name_prefix": "Ms.",
        "credential": "LCSW-R",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-29",
        "last_updated": "2009-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "035501-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LCSW-R",
            "identifier": "035501-1",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michelle Nash, MS OTR/L
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• Amy Otterbeck, PHYSICAL THERAPIST
• Frances F Owen, LCSW
• Pondview Pediatrics LLP
• Kelley Elizabeth Powers, PA-C
• Princeton Advanced Technologies LLC
• Gary Thomas Puccio, D.D.S.
• Brian Pulikowski, RPH

• Clinical Social Worker in Castleton, NY
• Providers in Castleton, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2009; 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.