Individual provider Active NPI

Kirsten Phillips

  • Clinical Social Worker
  • Columbus, OH
National Provider Identifier
1760910913
Registry record updated Sep 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I.2002343-SUPV Issued in OH
Practice address
700 Childrens Dr
Columbus, OH 43205-2664
Phone
(614) 355-8080
Fax
(614) 722-9376
NPI assigned
Jun 1, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X I.2002343-SUPV OH Primary
Clinical Social Worker 1041C0700X SWI.LW.70118420 WA

Addresses

Primary practice location

700 Childrens Dr
Columbus, OH 43205-2664

Mailing address

Department 781625
P.O. Box 78000
Detroit, MI 48278-1625
Phone (614) 355-8004

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221212001269 OH Practitioner - Clinical Social Worker 7810366952 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
S.1700522OHMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Columbus Neighborhood Health Center, Inc. Current Accepting new patients
Columbus Neighborhood Health Center Inc CurrentSince Jan 9, 2023 Accepting new patients
Columbus Neighborhood Health Center Inc Current Accepting new patients
Columbus Neighborhood Health Center, Inc. Current Accepting new patients
Columbus Neighborhood Health Center Inc Current Accepting new patients
Columbus Neighborhood Health Center Inc Current Accepting new patients

Locations

600 N Pickaway St
Ste 300
Circleville, OH 43113
Phone (740) 207-4202

240 Parsons Ave
Fl 2
Columbus, OH 43215
Phone (614) 645-7487

3433 Agler Rd
Ste 2800
Columbus, OH 43219
Phone (614) 645-1600

2300 W Broad St
Columbus, OH 43204
Phone (614) 645-2300

1500 E 17th Ave
Columbus, OH 43219
Phone (614) 645-2700

1180 E Main St
Columbus, OH 43205
Phone (614) 253-0861

1905 Parsons Ave
Columbus, OH 43207
Phone (614) 586-4159

2780 Airport Dr
Ste 100
Columbus, OH 43219
Phone (614) 859-1906

L3318
Columbus, OH 43260

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1496275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788393600000",
    "number": "1760910913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "DEPARTMENT 781625",
            "address_2": "P.O. BOX 78000",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482781625",
            "telephone_number": "614-355-8004",
            "fax_number": "614-355-2220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 CHILDRENS DR",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432052664",
            "telephone_number": "614-355-8080",
            "fax_number": "614-722-9376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "KIRSTEN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-01",
        "last_updated": "2026-09-03",
        "certification_date": "2026-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.2002343-SUPV",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "SWI.LW.70118420",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.