Active NPI
Phillip Hampton
- Clinical Social Worker
- Mansfield, TX
National Provider Identifier
1992283428
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 56447
- Practice address
- 1751 Broad Park Cir S
Mansfield, TX 76063-7826 - Phone
- (817) 539-2282
- NPI assigned
- Aug 6, 2018
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 150015775 | IL | |
| Clinical Social Worker | 1041C0700X | 56447 | TX | Primary |
Addresses
Primary practice location
1751 Broad Park Cir S
Mansfield, TX 76063-7826
Mailing address
PO Box 543111
Grand Prairie, TX 75054-3111
Phone (972) 262-5242
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 150015775 | IL | MD | Clinical Social Worker |
| 56447 | TX | MD | Clinical Social Worker |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1533513600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1584921600000",
"number": "1992283428",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 543111",
"city": "GRAND PRAIRIE",
"state": "TX",
"postal_code": "750543111",
"telephone_number": "972-262-5242"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1751 BROAD PARK CIR S",
"city": "MANSFIELD",
"state": "TX",
"postal_code": "760637826",
"telephone_number": "817-539-2282"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAMPTON",
"first_name": "PHILLIP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-08-06",
"last_updated": "2020-03-23",
"certification_date": "2020-03-23",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IL",
"license": "150015775",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "TX",
"license": "56447",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mansfield, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2020; 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.