Individual provider Active NPI

Philip Castillo, LCSW

  • Clinical Social Worker
  • New Orleans, LA
National Provider Identifier
1700242302
Registry record updated Jul 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
12727 Issued in LA
Practice address
2475 Canal St Ste 106
New Orleans, LA 70119-6549
Phone
(504) 962-7020
Fax
(504) 962-7025
NPI assigned
Jan 12, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 12727 LA Primary

Addresses

Primary practice location

2475 Canal St Ste 106
New Orleans, LA 70119-6549

Mailing address

2475 Canal St Ste 106
New Orleans, LA 70119-6549
Phone (504) 962-7020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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

Enrollment IDStateProvider typePAC IDDetails
I20211206001296 LA Practitioner - Clinical Social Worker 7416347463 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2000 Canal St
New Orleans, LA 70112-3018
Phone (504) 702-3000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.51 of 100Reported as group
Quality
88.07
Improvement activities
40
Cost
74.42

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12727LAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
University Medical Center Management Corporation CurrentSince Sep 3, 2021 Accepting new patients
University Medical Center Management Corporation CurrentSince Sep 3, 2021 Accepting new patients
Louisiana State University School of Medicine in New Orleans Faculty G PastSince Jul 20, 2021 Accepting new patients
Resources for Human Development Past Accepting new patients

Locations

2000 Canal St
New Orleans, LA 70112
Phone (504) 702-2287

2475 Canal St
Ste 106
New Orleans, LA 70119
Phone (504) 962-7020

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1452556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626048000000",
    "number": "1700242302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2475 CANAL ST STE 106",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701196549",
            "telephone_number": "504-962-7020",
            "fax_number": "504-962-7025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2475 CANAL ST STE 106",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701196549",
            "telephone_number": "504-962-7020",
            "fax_number": "504-962-7025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASTILLO",
        "first_name": "PHILIP",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-01-12",
        "last_updated": "2021-07-12",
        "certification_date": "2021-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "LA",
            "license": "12727",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Orleans, LA

Sources for this page

Verify at the official NPI Registry.