BETTY A PHILLIPS (NPI# 1104053719) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104053719 |
| Entity Type | Individual |
| Full Name | BETTY A PHILLIPS |
| Credential | LCSW |
| Practice Address |
424 S Main St Suite F Forked River NJ 08731-4654 |
| Practice Telephone | 6096934343 |
| Practice Fax Number | 6096934345 |
| Mailing Telephone | 6096934343 |
| Mailing Fax Number | 6096934345 |
| Enumeration Date | 2009-06-22 |
| Last Update Date | 2012-02-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
44SC04994100 | NJ | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578695326 | Betty W Phillips | Psychologist | 466 Eagle Point Rd, Pittsboro, NC 27312-6192 | 2007-03-09 |
| 1275181737 | Betty Ann Phillips | Counselor | 14 S Broadway, Baltimore, MD 21231-1712 | 2019-08-28 |
| 1528315256 | Betty Thomasa Phillips | Social Worker | 4505 E 47th St S, Wichita, KS 67210-1651 | 2012-08-13 |
| 1346378445 | Betty J Phillips | Registered Nurse | 5800 S Forest Ave, Tempe, AZ 85283-2816 | 2007-03-01 |
| 1124048129 | Betty L Phillips | Psychologist | 720 Main St, Suite B, Woodland, CA 95695-3407 | 2006-07-20 |
| Street Address |
424 S MAIN ST SUITE F |
| City | FORKED RIVER |
| State | NJ |
| Zip Code | 08731-4654 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891306726 | Julie Rose Fabiano | Registered Nurse | 424 S Main St, Forked River, NJ 08731-4654 | 2020-08-13 |
| 1942827936 | Julia Rose Thiel | Occupational Therapist | 424 S Main St, Forked River, NJ 08731-4654 | 2020-06-25 |
| 1285255778 | Jacqueline Gabbard | Occupational Therapist | 424 S Main St, Forked River, NJ 08731-4654 | 2020-05-06 |
| 1477174522 | Daniel Sweeney | Occupational Therapist | 424 S Main St, Forked River, NJ 08731-4654 | 2020-04-29 |
| 1538788369 | Froza Mercado Doe | Occupational Therapist | 424 S Main St, Forked River, NJ 08731-4654 | 2020-04-12 |
| 1013540111 | Gary Bell | Occupational Therapist | 424 S Main St, Forked River, NJ 08731-4654 | 2020-02-17 |
| 1821633975 | Erica Simi | Occupational Therapist | 424 S Main St, Forked River, NJ 08731-4654 | 2019-11-13 |
| 1871151852 | Emily Kulesza | Occupational Therapist | 424 S Main St, Forked River, NJ 08731-4654 | 2019-06-04 |
| 1073072849 | Anita Lynn Hergert | Nurse Practitioner | 424 S Main St, Forked River, NJ 08731-4654 | 2019-03-19 |
| 1285107185 | Nichole Isgro | Chiropractor | 424 S Main St, Forked River, NJ 08731-4654 | 2019-01-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841716743 | The Arc Ocean County Chapter, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 900 Gary Smith Way Apt 2101, Cornerstone At Lacey Apt 2101, Forked River, NJ 08731 | 2017-08-22 |
| 1770009672 | The Arc Ocean County Chapter, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 900 Gary Smith Way Apt 2102, Cornerstone At Lacey Apt 2102, Forked River, NJ 08731 | 2017-08-22 |
| 1780100685 | The Arc Ocean County Chapter, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 900 Gary Smith Way Apt 2103, Cornerstone At Lacey Apt 2103, Forked River, NJ 08731 | 2017-08-22 |
| 1154847051 | The Arc Ocean County Chapter, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 900 Gary Smith Way Apt 2104, Cornerstone At Lacey Apt 2104, Forked River, NJ 08731 | 2017-08-22 |
| 1578089488 | The Arc Ocean County Chapter, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 900 Gary Smith Way Apt 4102, Cornerstone At Lacey Apt 4102, Forked, NJ 08731 | 2017-08-22 |
| 1083130181 | George Aboud Saggal | Chiropractor | 424 South Main St, Forked River, NJ 08731 | 2017-08-21 |
| 1811427628 | The Arc, Ocean County Chapter, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | Cornerstone At Lacey, 900 Gary Smith Way, Forked River, NJ 08731 | 2017-06-14 |
| 1679953426 | Easter Seals New Jersey | Community/Behavioral Health | 15 Manchester Aveenue; Unit 10, Oakfield Plaza, Forked River, NJ 08731 | 2015-06-08 |
| 1902180292 | Natalia Pokhorukova | Pharmacist | 631 Chelsea St, Forked River, NJ 08731 | 2011-10-05 |
| 1316244783 | Nicole Catherine Eckert | Chiropractor | 540 Lacey Rd Ste 1c, Forked River, NJ 08731 | 2011-02-22 |
| Find all providers in zip 08731 | ||||
| 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 |
|---|---|---|---|---|
| 1134782071 | Marie Parise | Social Worker | 1044 Lacey Rd Ste 1a, Forked River, NJ 08731-1051 | 2019-04-16 |
| 1285197301 | Miranda Dekker | Social Worker | 1201 Taurus Ct, Forked River, NJ 08731-5325 | 2019-04-08 |
| 1336683218 | Julie Fumosa | Social Worker | 1775 Longwood Dr, Forked River, NJ 08731-3919 | 2016-12-12 |
| 1275805764 | Eliezer Hilman | Social Worker | 620 Lacey Rd Ste 5, Forked River, NJ 08731-2244 | 2012-01-31 |
| 1457643520 | Kenneth Noone | Social Worker | 622 Devon St, Forked River, NJ 08731-2108 | 2011-05-09 |
| 1912122565 | Kathy L Greene | Social Worker | 106 Parker Ave, Forked River, NJ 08731-4218 | 2007-04-16 |
| 1912045741 | Rita A Ferrara | Social Worker | 620 Lacey Road, Suite 5, Forked River, NJ 08731 | 2007-02-02 |
| 1043383698 | Catherine Ann Stark | Social Worker | 540 Lacey Road, Suite 1b, Forked River, NJ 08731 | 2006-11-15 |
| 1487090908 | Cassandra Dunn | Social Worker | 1044 Lacey Rd, Suite 2, Forked River, NJ 08731-1051 | 2013-05-13 |
| 1982729059 | Tammy E. Swank | Social Worker | 308 S Main St, Forked River, NJ 08731-4300 | 2007-03-20 |
| Find all providers in FORKED RIVER | ||||
| City | FORKED RIVER |
| Zip Code | 08731 |
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| 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.