Phyllis M Addis, LCSW
Individual provider Active NPI Clinical Social Worker · Chico, CA
NPI 1811913882 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1811913882
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- LCSW1164C (AL)
- Practice address
- 845 W East Ave
Chico, CA 95926-2002 - Phone
- (530) 896-4851
- Fax
- (530) 896-9407
- NPI assigned
- Jul 14, 2006
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCSW1164C | AL | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LCSW1164C | AL | Yes |
Addresses
Primary practice location
845 W East Ave
Chico, CA 95926-2002
Mailing address
845 W East Ave
Chico, CA 95926-2002
Phone (530) 896-4851
Other providers in Chico, CA
- Alicia Anne Adams
- Angela Lee Adams
- Emily Adams
- Adapthealth West, LLC
- Shari Adcock
- Addus Healthcare, Inc
- Holly Marie Adema
- Kelsey Adkins
- Kaylynn Danielle Adler
- Advanced Craniofacial Imaging
All providers in Chico, CA · Clinical Social Worker in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.