Individual provider Active NPI

Josie J Phillips, LCSW

  • Clinical Social Worker
  • St Maries, ID
National Provider Identifier
1912454752
Registry record updated May 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
40643 Issued in ID
Practice address
622 College Ave
St. Maries, ID 83837-2073
Phone
(208) 245-4363
Fax
(208) 245-4349
NPI assigned
Sep 9, 2016
Last updated
May 5, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 5, 2022

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 40643 ID Primary

Addresses

Primary practice location

622 College Ave
St. Maries, ID 83837-2073

Mailing address

PO Box 1387
Hayden, ID 83835-1387
Phone (208) 415-0299

Other names 1

  • Josie Guthrie Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID
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

Enrollment IDStateProvider typePAC IDDetails
I20210429002750 ID Practitioner - Clinical Social Worker 8022427293 Practice locations: Saint Maries, ID

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dirne Health Centers IncGroup PAC ID 2466353354, shared by 11 NPIs, 82 clinicians

Practice addresses (Care Compare)

120 S 13TH St
St Maries, ID 83861-1627
Phone (208) 245-4363

618 W College Ave
Suite 1
Saint Maries, ID 83861-5010
Phone (208) 261-1952

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
40643IDMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Dirne Health Centers, Inc. Clinical CurrentSince Apr 27, 2021 Accepting new patients
Dirne Health Centers, Inc. Social Worker Current Accepting new patients
JP Therapy PLLC Clinical CurrentSince Mar 1, 2026 Accepting new patients
Dirne Health Centers, Inc. Social Worker CurrentSince Apr 27, 2021 Accepting new patients

Locations

1090 W Park Pl
Coeur D Alene, ID 83814
Phone (208) 215-2005

2205 N Ironwood Pl
Coeur D Alene, ID 83814
Phone (208) 292-0303

3700 W Seltice Way
Coeur D Alene, ID 83814
Phone (208) 620-5250

740 McKinley Ave
Kellogg, ID 83837
Phone (208) 783-1267

925 E Polston Ave
Post Falls, ID 83854
Phone (208) 618-0787

16760 N Highway 41
Rathdrum, ID 83858
Phone (208) 687-5627

120 S 13th St
St Maries, ID 83861
Phone (208) 245-4363

618 W College Ave
Ste 1
St Maries, ID 83861
Phone (208) 261-1952

622 W College Ave
St Maries, ID 83861
Phone (208) 245-4363

Interoperability endpoints

  • Direct secure messaging: josie.phillips.1@16899.direct.athenahealth.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1473379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651708800000",
    "number": "1912454752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1387",
            "city": "HAYDEN",
            "state": "ID",
            "postal_code": "838351387",
            "telephone_number": "208-415-0299",
            "fax_number": "208-625-2070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "622 COLLEGE AVE",
            "city": "ST. MARIES",
            "state": "ID",
            "postal_code": "838372073",
            "telephone_number": "208-245-4363",
            "fax_number": "208-245-4349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "JOSIE",
        "middle_name": "J",
        "name_prefix": "Miss",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-09-09",
        "last_updated": "2022-05-05",
        "certification_date": "2022-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ID",
            "license": "40643",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOSIE",
            "last_name": "GUTHRIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in St Maries, ID

Sources for this page

Verify at the official NPI Registry.