Active NPI
Nina Phillips, LMSW
- Clinical Social Worker
- Detroit, MI
National Provider Identifier
1780095620
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 6801093331
- Practice address
- 2985 E Jefferson Ave
Detroit, MI 48207-4288 - Phone
- (313) 567-0408
- Fax
- (313) 567-0292
- NPI assigned
- May 14, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 6801093331 | MI | Primary |
Addresses
Primary practice location
2985 E Jefferson Ave
Detroit, MI 48207-4288
Mailing address
823 Saint Louis St
Ferndale, MI 48220-3247
Phone (248) 565-6370
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6801093331 | MI | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1400025600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1780095620",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "823 SAINT LOUIS ST",
"city": "FERNDALE",
"state": "MI",
"postal_code": "482203247",
"telephone_number": "248-565-6370"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2985 E JEFFERSON AVE",
"city": "DETROIT",
"state": "MI",
"postal_code": "482074288",
"telephone_number": "313-567-0408",
"fax_number": "313-567-0292"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHILLIPS",
"first_name": "NINA",
"credential": "LMSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-05-14",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MI",
"license": "6801093331",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Detroit, MI
- Jannel M Phillips, PH.D
- Jessica Anne Phillips, CRNA
- John Edward Phillips, REGISTERED NURSE
- Kasseem Kentril Phillips
- Lateash Tanie Phillips, CNA
- Patrick Gerhart Phillips
- Riane Nicole Phillips
- Royetta Laverne Phillips, REGISTERED NURSE
- Ryan Michael Phillips, M.D.
- Traci Blalock Phillips, B.S. M.S. DMIN.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.