Phyllis Myers, MSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801083422 Issued in MI

Practice address

950 W Monroe St
Suite 500
Jackson, MI 49202-2079

Phone

(517) 788-8330

Fax

(517) 788-5952

NPI assigned

Aug 14, 2012

Last updated

Aug 14, 2012By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Soteria Enterprises, PLLC

  • Clinical Social Worker
  • Jackson, MI
  • NPI 1992183735
  NPD (past)

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

{
    "created_epoch": "1344902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1344902400000",
    "number": "1972850519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950 W MONROE ST",
            "address_2": "SUITE 500",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492022079",
            "telephone_number": "517-788-8330",
            "fax_number": "517-788-5952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 W MONROE ST",
            "address_2": "SUITE 500",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492022079",
            "telephone_number": "517-788-8330",
            "fax_number": "517-788-5952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MYERS",
        "first_name": "PHYLLIS",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-08-14",
        "last_updated": "2012-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801083422",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• My Results Lab
• Allyson Myers
• Barry Morgan Myers, PA
• Breona Myers, LMSW
• Cambria Jill Myers, LLPC
• Myeyedr Optometry of Michigan, LLC (RX Optical)
• Myeyedr Optometry of Michigan, LLC (MyeyeDr.)
• Myeyedr Optometry of Michigan, LLC (RX Optical)
• Mykala Enterprised (Right at Home)
• Mykala Enterprises LLC

• Clinical Social Worker in Jackson, MI
• Providers in Jackson, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2012; 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.