Marni Phillips, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

009925 Issued in CT

Practice address

18 Wilridge Rd
Wilton, CT 06897-4826

Phone

(917) 593-6605

NPI assigned

Jan 24, 2018

Last updated

Jan 24, 2018By the provider in NPPES

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

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": "1516752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1516752000000",
    "number": "1740788793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 WILRIDGE RD",
            "city": "WILTON",
            "state": "CT",
            "postal_code": "068974826",
            "telephone_number": "917-593-6605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 WILRIDGE RD",
            "city": "WILTON",
            "state": "CT",
            "postal_code": "068974826",
            "telephone_number": "917-593-6605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "MARNI",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-01-24",
        "last_updated": "2018-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "009925",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shefali Niraj Patel, CCC SLP
• Pcah CT Cares LLC (Preferred Care at Home of Central Fairfield)
• Kenneth Peisecki, OT
• Kelly Ann Peraino, LMFT
• Suzanne N. Perlman, MSW
• Steven E Phillips, MD
• Alisa Nicole Pillai, LCSW
• Agota Pongor, COTA
• Joan M Poultney, PH.D.
• Pride and Joy Therapy, PLLC

• Clinical Social Worker in Wilton, CT
• Providers in Wilton, CT by specialty
• Clinical Social Worker in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2018; 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.