Organization Active NPI

Phipps and McInnis Family Services,LLC

  • Clinical Social Worker
  • Emporia, VA
National Provider Identifier
1750610465
Registry record updated Apr 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904002630 Issued in VA
Legal business name
PHIPPS AND MCINNIS FAMILY SERVICES,LLC
Practice address
139C Baker St
Emporia, VA 23847-1703
Phone
(434) 336-1516
Fax
(434) 336-1517
NPI assigned
Dec 9, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2010

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

Authorized official

Name
Ms. Edna M. Phipps, LCSWNPI 1497847628
Title
Clinical Director
Phone
43459496954

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YP2500X 0701004698 VA
Clinical Social WorkerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1041C0700X 0904002630 VA Primary

Addresses

Primary practice location

139C Baker St
Emporia, VA 23847-1703

Mailing address

139C Baker St
Emporia, VA 23847-1703
Phone (434) 336-1516

National Provider Directory

National Provider Directory

Locations

139C Baker St
Emporia, VA 23847
Phone (434) 336-1516

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1260316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1270684800000",
    "number": "1750610465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "139C BAKER ST",
            "city": "EMPORIA",
            "state": "VA",
            "postal_code": "238471703",
            "telephone_number": "434-336-1516",
            "fax_number": "434-336-1517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "139C BAKER ST",
            "city": "EMPORIA",
            "state": "VA",
            "postal_code": "238471703",
            "telephone_number": "434-336-1516",
            "fax_number": "434-336-1517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHIPPS AND MCINNIS FAMILY SERVICES,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-09",
        "last_updated": "2010-04-08",
        "status": "A",
        "authorized_official_last_name": "PHIPPS",
        "authorized_official_first_name": "EDNA",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "43459496954",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701004698",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904002630",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Emporia, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2010; 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.