Pauline Elizabeth Phillips, CSW, LMFT

Primary specialty

Social WorkerTaxonomy code 104100000X

License

5295 Issued in KY

Practice address

1919 State St
Suite 18
New Albany, IN 47150-4929

Phone

(812) 944-2532

Fax

(812) 944-2549

NPI assigned

Nov 16, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Pauline Elizabeth Pritchard Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1195171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1326240000000",
    "number": "1710168828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1919 STATE ST",
            "address_2": "SUITE 18",
            "city": "NEW ALBANY",
            "state": "IN",
            "postal_code": "471504929",
            "telephone_number": "812-944-2532",
            "fax_number": "812-944-2549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1919 STATE ST",
            "address_2": "SUITE 18",
            "city": "NEW ALBANY",
            "state": "IN",
            "postal_code": "471504929",
            "telephone_number": "812-944-2532",
            "fax_number": "812-944-2549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "PAULINE",
        "middle_name": "ELIZABETH",
        "credential": "CSW, LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-11-16",
        "last_updated": "2012-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "KY",
            "license": "5295",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "KY",
            "license": "0784",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30605018",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000543837",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PAULINE",
            "last_name": "PRITCHARD",
            "middle_name": "ELIZABETH",
            "credential": "CSW, LMFT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Joshua James Peterson, RBT
• John S Petrey Jr., MD
• Gabrielle Pflueger, RPH
• Bindu Philip
• Camille Elise Phillips, CSW
• Physicians Group Inc
• Physicians Medical Center LLC
• Physicians Medical Center LLC (PMC Urgent Care & Occupational Medicine)
• Physicians Medical Center LLC (PMC Surgical Associates)
• Jacob Pickerill

• Social Worker in New Albany, IN
• Providers in New Albany, IN by specialty
• Social Worker in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2012; 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.