Individual provider Active NPI

Patricia Phillips, LCSW, MSSW

  • Social Worker
  • Sarasota, FL
National Provider Identifier
1710250279
Registry record updated Feb 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
SW5753 Issued in FL
Practice address
2055 Wood St
Ste 220
Sarasota, FL 34237
Phone
(941) 366-6611
NPI assigned
Feb 14, 2012
Last updated
Feb 24, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X SW5753 FL Primary

Addresses

Primary practice location

2055 Wood St
Ste 220
Sarasota, FL 34237

Mailing address

1646 South Orange Av
Gulf Coast Healthcare Services, Inc.
Sarasota, FL 34239-2036
Phone (941) 954-8725

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)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Gulf Coast Health Care Services, Inc. PastSince Dec 1, 2010 Accepting new patients
Center of Revitalizing Psychiatry PC Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1329177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330041600000",
    "number": "1710250279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1646 SOUTH ORANGE AV",
            "address_2": "GULF COAST HEALTHCARE SERVICES, INC.",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342392036",
            "telephone_number": "941-954-8725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2055 WOOD ST",
            "address_2": "STE 220",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "34237",
            "telephone_number": "941-366-6611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "PATRICIA",
        "credential": "LCSW, MSSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-02-14",
        "last_updated": "2012-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "FL",
            "license": "SW5753",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sarasota, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 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.