Veronica Ann Phillips, SOCIAL WORKER

Primary specialty

Social WorkerTaxonomy code 104100000X

License

SWC.0000000002 Issued in CO

Practice address

443 Highway 105
Palmer Lake, CO 80133-9003

Phone

(719) 884-0063

NPI assigned

Aug 6, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1659744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659744000000",
    "number": "1972230167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "443 HIGHWAY 105",
            "city": "PALMER LAKE",
            "state": "CO",
            "postal_code": "801339003",
            "telephone_number": "719-884-0063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "443 HIGHWAY 105",
            "city": "PALMER LAKE",
            "state": "CO",
            "postal_code": "801339003",
            "telephone_number": "719-884-0063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "VERONICA",
        "middle_name": "ANN",
        "credential": "SOCIAL WORKER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-06",
        "last_updated": "2022-08-06",
        "certification_date": "2022-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker",
            "state": "CO",
            "license": "SWC.0000000002",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1922514306",
            "state": "CO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "org",
            "affiliation": "N",
            "endpointDescription": "Practice address",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "443 Highway 105",
            "city": "Palmer Lake",
            "state": "CO",
            "country_code": "US",
            "postal_code": "801339003",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Monumental Therapy Group PLLC
• Samantha Myers, LCSW
• Birgitte Darum Pegues, RNFA
• Donald Albert Peterson, DC
• Amanda Jessica Phillips, ACD.0002692
• Tina Piantidosi-Hall, LCSW
• Recovery Village at Palmer Lake, LLC
• Recovery Village at Palmer Lake, LLC
• Tania Lorell Rife, M.A., CCC/SLP
• Michelle Roberts, LSW

• Social Worker in Palmer Lake, CO
• Providers in Palmer Lake, CO by specialty
• Social Worker in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2022; 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.