Rebecca Phillips, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

107628 Issued in TX

Practice address

1903 Singing Wind Dr
Kerrville, TX 78028-3720

Phone

(830) 370-0670

NPI assigned

Mar 12, 2020

Last updated

Nov 4, 2023By 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

Enrolled in TX

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

Medicare enrollment (NPD)

Enrolled

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.

• Revived and Renewed Counseling, PLLC

  • Clinical Social Worker
  • Kerrville, TX
  • NPI 1972378693
  Authorized official Same address or phone

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

{
    "created_epoch": "1583971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699056000000",
    "number": "1811523681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1903 SINGING WIND DR",
            "city": "KERRVILLE",
            "state": "TX",
            "postal_code": "780283720",
            "telephone_number": "830-370-0670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1903 SINGING WIND DR",
            "city": "KERRVILLE",
            "state": "TX",
            "postal_code": "780283720",
            "telephone_number": "830-370-0670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "REBECCA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-03-12",
        "last_updated": "2023-11-04",
        "certification_date": "2023-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "107628",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David W Peters, MD
• Peterson Medical Associates
• Peterson Urgent Care LLC
• Phillip Balfanz, MD PLLC (Live Oak Psychiatric Services)
• Hailey Crowe Phillips, SLP
• Phoenix Medical Associates
• Alexandra Pierce, RN, APRN, NP-C
• Brittany A Pierce, LPC
• Samantha Marie Pierce, CNM, WHNP
• Travis Aaron Pierce, NURSE PRACTITIONER

• Clinical Social Worker in Kerrville, TX
• Providers in Kerrville, TX by specialty
• Clinical Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.