Individual provider Active NPI

Danny N Phillips, MSW, LCSW

  • Clinical Social Worker
  • Palm Springs, CA
National Provider Identifier
1902278187
Registry record updated Oct 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
21373 Issued in CA
Practice address
1311 Primavera Dr N
Palm Springs, CA 92264-8450
Phone
(310) 592-6551
NPI assigned
Oct 27, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 27, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 21373 CA Primary

Addresses

Primary practice location

1311 Primavera Dr N
Palm Springs, CA 92264-8450

Mailing address

1311 Primavera Dr N
Palm Springs, CA 92264-8450
Phone (310) 592-6551

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, NC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20160613001861 CA Practitioner - Clinical Social Worker 5991095481 Practice locations: Palm Springs, CA
I20260129003361 NC Practitioner - Clinical Social Worker 5991095481 Practice locations: Belmont, NC

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

32 N Main St
Suite 214
Belmont, NC 28012-3183
Phone (310) 592-6551

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
21373CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Life Enhancements Inc. Past Accepting new patients
South Point Counseling, LLC PastSince Mar 5, 2022 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1445904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1445904000000",
    "number": "1902278187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1311 PRIMAVERA DR N",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "922648450",
            "telephone_number": "310-592-6551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1311 PRIMAVERA DR N",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "922648450",
            "telephone_number": "310-592-6551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "DANNY",
        "middle_name": "N",
        "name_prefix": "Mr.",
        "credential": "MSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-10-27",
        "last_updated": "2015-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "21373",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Springs, CA

Sources for this page

Verify at the official NPI Registry.