Malia Phillips, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCSW97066 Issued in CA

Practice address

1225 W 190TH St Ste 255
Gardena, CA 90248-4342

Phone

(310) 217-0930

Fax

(310) 217-0907

NPI assigned

Sep 25, 2023

Sex

Female

Sole proprietor

No

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.

• Koinonia Foster Homes, Inc.

  • Community/Behavioral Health Agency
  • Gardena, CA
  • NPI 1467997403
  NPD

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1695600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695600000000",
    "number": "1730968124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1225 W 190TH ST STE 255",
            "city": "GARDENA",
            "state": "CA",
            "postal_code": "902484342",
            "telephone_number": "310-217-0930",
            "fax_number": "310-217-0907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1225 W 190TH ST STE 255",
            "city": "GARDENA",
            "state": "CA",
            "postal_code": "902484342",
            "telephone_number": "310-217-0930",
            "fax_number": "310-217-0907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "MALIA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-25",
        "last_updated": "2023-09-25",
        "certification_date": "2023-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCSW97066",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peter Binh Phan, DMD
• Lena Phana
• Pharmacy4Humanity
• Brooklyn Phillips
• Kevin Phillips
• Shannice Phipps
• Napatsorn Phommanan
• Cain Robert Pierce
• Judith Pietersz, NP
• Danielle Pike

• All providers in Gardena, CA
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2023; 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.