Virginia A Phakos, MSW, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

1016295 Issued in MA

Practice address

288 Pearl St
Cambridge, MA 02139-4716

Phone

(617) 547-7271

Fax

(617) 666-5832

NPI assigned

Nov 8, 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 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Neighborhood Counseling and Community Services, Inc.

  • Community/Behavioral Health Agency
  • Somerville, MA
  • NPI 1659731420
  NPD (past)

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1730259664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "288 PEARL ST",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021394716",
            "telephone_number": "617-547-7271",
            "fax_number": "617-666-5832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "288 PEARL ST",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021394716",
            "telephone_number": "617-547-7271",
            "fax_number": "617-666-5832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHAKOS",
        "first_name": "VIRGINIA",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "credential": "MSW, LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "1016295",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "PO4923",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLAN",
            "identifier": "190378",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Saman Pezeshki, DC
• Rachel Pfeiffer, PT
• Thomas Joseph Pfeiffer, M.D.
• Kimberly Starr Pfister, BS
• Daniel Pforte, LSW
• An Pham, BSW
• Anh Mai Pham, BS
• Phong Pham, BCBA
• Jenica Phelps, LCSW
• Anthony Andrew Philippakis, M.D., PHD

• Clinical Social Worker in Cambridge, MA
• Providers in Cambridge, MA by specialty
• Clinical Social Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.