Sara Meconis Phillips, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

27006 Issued in MN

Practice address

649 Dayton Ave.
Saint Paul, MN 55104-6631

Phone

(612) 436-4840

Fax

(612) 436-2604

NPI assigned

Jan 15, 2013

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

Enrolled in MN

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

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Center for Victims of Torture

  • Community/Behavioral Health Agency
  • Saint Paul, MN
  • NPI 1124111729
  Medicare reassignment NPD
• Center for Victims of Torture - Bethesda

  • Community/Behavioral Health Agency
  • Saint Paul, MN
  • NPI 1124420146
  NPD (past)

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

{
    "created_epoch": "1358208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738108800000",
    "number": "1922345610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2356 UNIVERSITY AVE W.",
            "address_2": "SUITE 430",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551141860",
            "telephone_number": "612-436-4840",
            "fax_number": "612-436-2606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "649 DAYTON AVE.",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551046631",
            "telephone_number": "612-436-4840",
            "fax_number": "612-436-2604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "SARA",
        "middle_name": "MECONIS",
        "name_prefix": "Ms.",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-01-15",
        "last_updated": "2025-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "27006",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gaile Kristine Philipp
• Brianna Phillips, RDN, LD
• Clayton Thaddeus Rudolf Phillips, LADC
• Jessie Phillips
• Kester A Phillips, MD
• Nancy F Phipps, M.D.
• PHM New Richmond Senior Housinig Inc
• Veasna Pho
• Phoenix Residence, Inc.
• Phoenix Residence, Inc.

• Clinical Social Worker in Saint Paul, MN
• Providers in Saint Paul, MN by specialty
• Clinical Social Worker in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.