Mindy Self Philbeck, LCSWA

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

P022213 Issued in NC

Practice address

806 N Lafayette St
Shelby, NC 28150-3831

Phone

(704) 487-4000

NPI assigned

Jan 31, 2025

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

• Preferred Choice Healthcare

  • Community/Behavioral Health Agency
  • Shelby, NC
  • NPI 1073827861
  NPD
• Carolina Asthma and Allergy Center PA

  • Allergy & Immunology Physician
  • Charlotte, NC
  • NPI 1215995444
  NPD (past)

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

{
    "created_epoch": "1738281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750464000000",
    "number": "1871306977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 ILLINOIS ST",
            "city": "SPINDALE",
            "state": "NC",
            "postal_code": "281601908",
            "telephone_number": "828-443-1569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "806 N LAFAYETTE ST",
            "city": "SHELBY",
            "state": "NC",
            "postal_code": "281503831",
            "telephone_number": "704-487-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILBECK",
        "first_name": "MINDY",
        "middle_name": "SELF",
        "credential": "LCSWA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-31",
        "last_updated": "2025-06-21",
        "certification_date": "2025-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P022213",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dennis Wayne Pettis
• Quintina B Petty, FNP
• Abigail Mairead Phelps, MD
• Tracy Lee Phelps, MD
• Evelyn Philbeck, R.PH.
• Sarah Nantz Philbeck, LCMHC
• Philip F. Jiamachello, D.D.S.
• Kern Phillip, DPT
• Sydney M Phipps, LCSW, LCAS
• Phoenix Counseling Center

• Clinical Social Worker in Shelby, NC
• Providers in Shelby, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2025; 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.