Bryan S Phillips, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

40300 Issued in TX

Practice address

2323 S Shepherd Dr Ste 850
Houston, TX 77019-7022

Phone

(713) 309-6763

NPI assigned

May 30, 2006

Sex

Male

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 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

• Bellaire Ellie Clinic PC

  • Mental Health Counselor
  • Bellaire, TX
  • NPI 1487372132
  NPD

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

{
    "created_epoch": "1148947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687910400000",
    "number": "1962459255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12503 HAZELWOOD LN",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770772913",
            "telephone_number": "972-898-5860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2323 S SHEPHERD DR STE 850",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770197022",
            "telephone_number": "713-309-6763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "BRYAN",
        "middle_name": "S",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-30",
        "last_updated": "2023-06-28",
        "certification_date": "2023-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "40300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "405325803",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "405325801",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "405325802",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amber Phillips, CRNA
• April E Phillips, CRNA
• Bradly James Phillips, CRNA
• Brett T Phillips, M.D.
• Brittney Nicole Phillips, M.D.
• Catherine Ryann Phillips, PTA
• Cathy Phillips
• Cherrelle M Phillips
• Chris Andre Phillips
• Constance Denise Phillips, MS, LCDC, CDVC

• Clinical Social Worker in Houston, TX
• Providers in Houston, TX by specialty
• Clinical Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2023; 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.