Individual provider Active NPI

Michael Philhower, LCSW

  • Clinical Social Worker
  • Warren, PA
National Provider Identifier
1790964260
Registry record updated Jan 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW017135 Issued in PA
Practice address
1048 Pennsylvania Ave W
Warren, PA 16365-1838
Phone
(724) 422-3928
Fax
(814) 313-1075
NPI assigned
Oct 31, 2007
Last updated
Jan 5, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 5, 2020

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X CW017135 PA Primary
Addiction (Substance Use Disorder) Counselor 101YA0400X
Mental Health Counselor 101YM0800X
Social Worker 104100000X 081402 NY

Addresses

Primary practice location

1048 Pennsylvania Ave W
Warren, PA 16365-1838

Mailing address

1048 Pennsylvania Ave W
Warren, PA 16365-1838
Phone (724) 422-3928

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20111212000826 PA Practitioner - Clinical Social Worker 1456526953 Reassigns benefits to 1 organization
Practice locations: Warren, PA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sunrise Collaborative, LLCGroup PAC ID 9739429994, 5 clinicians

Practice addresses (Care Compare)

1048 Pennsylvania Ave W
Warren, PA 16365-1838
Phone 8142309111101

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
081402NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Sunrise Collaborative, LLC. Clinical CurrentSince Jan 2, 2019 Accepting new patients

Locations

1048 Pennsylvania Ave W
Warren, PA 16365
Phone (814) 230-9111

115 Pennsylvania Ave W
Ste B
Warren, PA 16365
Phone (724) 422-3928

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1193788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578182400000",
    "number": "1790964260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1048 PENNSYLVANIA AVE W",
            "city": "WARREN",
            "state": "PA",
            "postal_code": "163651838",
            "telephone_number": "724-422-3928",
            "fax_number": "814-313-1075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1048 PENNSYLVANIA AVE W",
            "city": "WARREN",
            "state": "PA",
            "postal_code": "163651838",
            "telephone_number": "724-422-3928",
            "fax_number": "814-313-1075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILHOWER",
        "first_name": "MICHAEL",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-10-31",
        "last_updated": "2020-01-05",
        "certification_date": "2020-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW017135",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "081402",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warren, PA

Sources for this page

Verify at the official NPI Registry.