Individual provider Active NPI

Philippa Grace Frank-Thomas, LCSW

  • Clinical Social Worker
  • Flagler Beach, FL
National Provider Identifier
1942466446
Registry record updated Jan 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW8912 Issued in FL
Practice address
208 S 6TH St
Flagler Beach, FL 32136-3691
Phone
(386) 387-1897
NPI assigned
Aug 4, 2008
Last updated
Jan 22, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 22, 2020

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 SW8912 FL Primary

Addresses

Primary practice location

208 S 6TH St
Flagler Beach, FL 32136-3691

Mailing address

13 Ocean Palm Villa N
Flagler Beach, FL 32136-4112
Phone (585) 739-5582

Other practice location 1

13 Ocean Palm Villa N
Flagler Beach, FL 32136-4112
Phone (585) 739-5582

Other names 1

  • Philippa Frank Wilfeard Former name

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20201008003294 FL Practitioner - Clinical Social Worker 1557781788 Practice locations: Flagler Beach, FL

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2003
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

208 S 6TH St
Flagler Beach, FL 32136-3691
Phone (386) 387-1897

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SW8912FLMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1217808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579651200000",
    "number": "1942466446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13 OCEAN PALM VILLA N",
            "city": "FLAGLER BEACH",
            "state": "FL",
            "postal_code": "321364112",
            "telephone_number": "585-739-5582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 S 6TH ST",
            "city": "FLAGLER BEACH",
            "state": "FL",
            "postal_code": "321363691",
            "telephone_number": "386-387-1897"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13 Ocean Palm Villa N",
            "address_purpose": "LOCATION",
            "city": "Flagler Beach",
            "state": "FL",
            "postal_code": "321364112",
            "country_code": "US",
            "telephone_number": "585-739-5582",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FRANK-THOMAS",
        "first_name": "PHILIPPA",
        "middle_name": "GRACE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-08-04",
        "last_updated": "2020-01-22",
        "certification_date": "2020-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW8912",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PHILIPPA",
            "last_name": "WILFEARD",
            "middle_name": "FRANK",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Flagler Beach, FL

Sources for this page

Verify at the official NPI Registry.