Phyllis Willis, LMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

Practice address

1800 N Charles St Ste 804
Baltimore, MD 21201-5987

Phone

(667) 205-1350

NPI assigned

Feb 15, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1644883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769990400000",
    "number": "1851046130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2275 RESEARCH BLVD STE 500",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208506203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 N CHARLES ST STE 804",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212015987",
            "telephone_number": "667-205-1350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIS",
        "first_name": "PHYLLIS",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-15",
        "last_updated": "2026-02-02",
        "certification_date": "2026-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "phyllis@adikacounseling.com",
            "affiliation": "N",
            "address_1": "2275 Research Blvd Ste 500",
            "city": "Rockville",
            "state": "MD",
            "country_code": "US",
            "postal_code": "208506203",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Antonio Willingham
• Ashley Christine Willis, M.D.
• Connor Tenney Willis, MD
• Kelly Willis, LCSW-C
• Kiyana Willis, SW
• Terri Anne Willis, NURSE PRACTITIONER
• Cassandra Blair Willison, PA-C
• Catherine M Willman, CRNP
• Sarah Willner, OTR/L
• Willoughby Pediatrics, LLC

• Social Worker in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Social Worker in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.