Winniefred E. Phillips, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

7207-123 Issued in WI

Practice address

420 7TH St
Racine, WI 53403-1222

Phone

(262) 634-2391

Fax

(262) 634-5342

NPI assigned

Oct 3, 2008

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Glassman & Stanik Consulting Psychologists, LLC

  • Clinical Neuropsychologist
  • Milwaukee, WI
  • NPI 1720105877
  NPD (past)
• Young Mens Christian Association

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Racine, WI
  • NPI 1962166744
  NPD (past)

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

{
    "created_epoch": "1222992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1374710400000",
    "number": "1942451307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 7TH ST",
            "city": "RACINE",
            "state": "WI",
            "postal_code": "534031222",
            "telephone_number": "262-634-2391",
            "fax_number": "262-634-5342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 7TH ST",
            "city": "RACINE",
            "state": "WI",
            "postal_code": "534031222",
            "telephone_number": "262-634-2391",
            "fax_number": "262-634-5342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "WINNIEFRED",
        "middle_name": "E.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-03",
        "last_updated": "2013-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "7207-123",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "39790500",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Reanna Peterson
• Wesley Peterson, RN
• Kenna Petery
• Denise Petrelli-Holst, LPC
• Barbara June Pettibone
• Richard A. Pierce-Ruhland, M.D.
• Jennifer Pileski-Perona, OD
• Rhoda E Pillsbury, RM/T, LAC
• Celia Piper
• Catherine Pippin, RN

• Clinical Social Worker in Racine, WI
• Providers in Racine, WI by specialty
• Clinical Social Worker in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2013; 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.