Theannah Remi Louise Phillips, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

DP00945849 Issued in WV

Practice address

1 Harrison St SE
Leesburg, VA 20175-3102

Phone

(703) 777-0100

NPI assigned

Feb 14, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other names 1

• Theannah Remi Louise Dorrer Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

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 and National Provider Directory roles.

• County of Loudoun, Virginia

  dba Loudoun County Community Services Board

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Leesburg, VA
  • NPI 1386753291
  NPD
• County of Loudoun, Virginia

  dba Loudoun County Health Department

  • State or Local Public Health Clinic/Center
  • Leesburg, VA
  • NPI 1588353569
  NPD
• County of Loudoun, Virginia

  dba Loudoun County Health Department Dental Clinic

  • State or Local Public Health Clinic/Center
  • Leesburg, VA
  • NPI 1134811193
  NPD (past)

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

{
    "created_epoch": "1644796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769472000000",
    "number": "1952056459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1179 T J JACKSON DR STE B",
            "city": "FALLING WATERS",
            "state": "WV",
            "postal_code": "254194698",
            "telephone_number": "304-278-4433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 HARRISON ST SE",
            "city": "LEESBURG",
            "state": "VA",
            "postal_code": "201753102",
            "telephone_number": "703-777-0100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1179 T J Jackson Dr Ste B",
            "address_purpose": "LOCATION",
            "city": "Falling Waters",
            "state": "WV",
            "postal_code": "254194698",
            "country_code": "US",
            "telephone_number": "304-278-4433",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "THEANNAH",
        "middle_name": "REMI LOUISE",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-02-14",
        "last_updated": "2026-01-27",
        "certification_date": "2026-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "34106",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WV",
            "license": "DP00945849",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904017827",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "THEANNAH",
            "last_name": "DORRER",
            "middle_name": "REMI LOUISE",
            "credential": "LICSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Pharmacy Corporation of America (Express Care Pharmacy)
• Maria Phelps, FNP
• Phi Health, LLC (Phi Air Medical)
• Sarah Philip
• Katherine Nicole Phillips, MA, LPC
• Kimberly Dawn Phomsopha, PTA
• Physician Surgical Assists, LLC (Physician Surgical Assists)
• Physicians Health Solutions
• Sybil D Pickard, M.D.
• Madeleine Pierce, LCSW

• Clinical Social Worker in Leesburg, VA
• Providers in Leesburg, VA by specialty
• Clinical Social Worker in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2026; 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.