MS. PHYLLIS ST. LOUIS MAGNUS (NPI# 1043293970) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043293970 |
| Entity Type | Individual |
| Full Name | MS. PHYLLIS ST. LOUIS MAGNUS |
| Credential | LCSW-R |
| Practice Address |
70 Edgewood Rd Saranac Lake NY 12983-5644 |
| Mailing Address |
58 Saranac Ln Saranac Lake NY 12983-5907 |
| Practice Telephone | 5188915535 |
| Practice Fax Number | 5188915851 |
| Mailing Telephone | 5188912451 |
| Enumeration Date | 2005-11-23 |
| Last Update Date | 2011-10-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
R029668-1 | NY | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | R029668-1 | 05 |
| Street Address |
70 EDGEWOOD RD |
| City | SARANAC LAKE |
| State | NY |
| Zip Code | 12983-5644 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821621566 | Margaret Kaylyn West | Case Manager/Care Coordinator | 70 Edgewood Rd, Saranac Lake, NY 12983-1537 | 2020-02-21 |
| 1881226223 | Emily Noel Trudell | Case Manager/Care Coordinator | 70 Edgewood Rd, Saranac Lake, NY 12983-1537 | 2020-02-04 |
| 1144850611 | Andrea M. Palermo | Case Manager/Care Coordinator | 70 Edgewood Rd, Saranac Lake, NY 12983-1537 | 2020-01-23 |
| 1619507571 | Carrie Marie Bradley | Case Manager/Care Coordinator | 70 Edgewood Rd, Saranac Lake, NY 12983-1537 | 2020-01-20 |
| 1710526579 | Lien Manly | Student in an Organized Health Care Education/Training Program | 70 Edgewood Rd, Saranac Lake, NY 12983-1537 | 2019-12-27 |
| 1144861089 | Mallory Supley | Licensed Practical Nurse | 70 Edgewood Rd, Saranac Lake, NY 12983-1537 | 2019-10-02 |
| 1992356893 | Glenn Edward Stearns | Peer Specialist | 70 Edgewood Rd, Saranac Lake, NY 12983-1537 | 2019-09-23 |
| 1538721477 | Jody Morgan Cogar | Social Worker | 70 Edgewood Rd, Saranac Lake, NY 12983-1537 | 2019-07-01 |
| 1033677661 | Harrison Metcalf Ewing | Adult Companion | 70 Edgewood Rd, Saranac Lake, NY 12983-1537 | 2019-03-02 |
| 1821570565 | Joanna Politi | Counselor | 70 Edgewood Rd, Saranac Lake, NY 12983-1537 | 2018-08-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013486315 | Aisha Dominique Wood | Physical Therapist | 2233 Ny-86, Saranac Lake, NY 12983 | 2018-11-15 |
| 1215357132 | Ashley Garwood | Occupational Therapist | 38 Tahoma Road, Saranac Lake, NY 12983 | 2014-04-17 |
| 1841537982 | Dean Everritt | Social Worker | 33 Depot St., Saranac Lake, NY 12983 | 2013-01-09 |
| 1265797013 | Danielle Carr | Counselor | 28 Bernard Street, Saranac Lake, NY 12983 | 2012-07-09 |
| 1275807489 | Deborah Ann Stevens | Licensed Practical Nurse | 157 Bloomingdale Ave Apt 3, Saranac Lake, NY 12983 | 2012-03-06 |
| 1699085910 | Jessica Evans Jakobe | Speech-Language Pathologist | 141 Petrova Ave, Petrova Elementary, Saranac Lake, NY 12983 | 2010-10-20 |
| 1548407562 | Eve M Burns | Obstetrics & Gynecology | 309 County Route 47 Ste 2, Saranac Lake, NY 12983 | 2009-01-13 |
| 1174735492 | Citizen Advocates Inc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 6 Shepard Ave Apt. 1, Saranac Lake, NY 12983 | 2007-05-07 |
| 1750442513 | High Peaks Hospice and Palliative Care, Inc. | Hospice Care, Community Based | 309 County Route 47 Ste 7, Saranac Lake, NY 12983 | 2006-12-13 |
| 1467536797 | Clifford Gerard Wagner | Chiropractor | 53 Woodruff Street, Saranac Lake, NY 12983 | 2006-10-24 |
| Find all providers in zip 12983 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033526132 | Jennifer Tissot Van Patot | Social Worker | 24 Dewey Mountain Rd, Saranac Lake, NY 12983-8319 | 2014-07-21 |
| 1841537982 | Dean Everritt | Social Worker | 33 Depot St., Saranac Lake, NY 12983 | 2013-01-09 |
| 1972894137 | Kathleen Foster | Social Worker | 12 Academy St, Saranac Lake, NY 12983-1941 | 2011-04-22 |
| 1588796015 | John Paul Bushway | Social Worker | 30 Prescott Pl, Saranac Lake, NY 12983-1829 | 2007-03-11 |
| 1760570386 | Andrea Johnston | Social Worker | 88 Woodruff St, Saranac Lake, NY 12983-1713 | 2006-10-10 |
| 1417988049 | Patricia Adele Saccardi | Social Worker | 2217 State Route 86, Saranac Lake, NY 12983-5644 | 2006-07-05 |
| 1144273442 | Hearth Moon Rising | Social Worker | 159 Glenwood Boulevard, Saranac Lake, NY 12983 | 2006-05-18 |
| 1609414929 | Kristina F Hybicki | Social Worker | 2233 State Route 86, Bariatrics Center, Saranac Lake, NY 12983 | 2019-12-17 |
| 1538721477 | Jody Morgan Cogar | Social Worker | 70 Edgewood Rd, Saranac Lake, NY 12983-1537 | 2019-07-01 |
| 1215348289 | Marc A Johnson | Social Worker | 2233 State Route 86, Saranac Lake, NY 12983-5644 | 2014-05-13 |
| Find all providers in SARANAC LAKE | ||||
| City | SARANAC LAKE |
| Zip Code | 12983 |
Please comment or provide details below to improve the information on MS. PHYLLIS ST. LOUIS MAGNUS.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.