Deborah L Phillips, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW11990 Issued in FL

Practice address

101 Route 130 S Ste 510
Cinnaminson, NJ 08077

Phone

(609) 933-7044

Fax

(856) 314-8072

NPI assigned

Apr 6, 2011

Last updated

Aug 28, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

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

Specialty

Clinical Social Worker

Education

Perelman School of Med at the University of Pennsylvania, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Advanced Behavioral Care LLCGroup PAC ID 1759569106, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Advanced Behavioral Care LLC

  dba Abc

  • Prescribing (Medical) Psychologist
  • Melbourne, FL
  • NPI 1760772032
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1302048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535414400000",
    "number": "1932498375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4031 DIXIE HWY NE",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329053682",
            "telephone_number": "321-622-3222",
            "fax_number": "321-622-3222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 ROUTE 130 S STE 510",
            "city": "CINNAMINSON",
            "state": "NJ",
            "postal_code": "08077",
            "telephone_number": "609-933-7044",
            "fax_number": "856-314-8072"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 Route 130 S Ste 510",
            "address_purpose": "LOCATION",
            "city": "Cinnaminson",
            "state": "NJ",
            "postal_code": "080772844",
            "country_code": "US",
            "telephone_number": "609-933-7044",
            "fax_number": "856-314-8072",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "DEBORAH",
        "middle_name": "L",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-04-06",
        "last_updated": "2018-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC04752100",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW11990",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael V. Palmer, PH.D.
• Dawn L Pasko, LPC
• Kalpeshkumar R Patel, M.D.
• Tatiana Peak
• Sarah Peters
• Jenna Pitko
• Premier Urgent Care Cinnaminson, LLC
• Carol Presley
• Proactive Chiropractic Rehabilitation Center
• Professional Sport & Spine LLC

• Clinical Social Worker in Cinnaminson, NJ
• Providers in Cinnaminson, NJ by specialty
• Clinical Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2018; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.