JOHN T PHIPPS (NPI# 1124116090) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124116090 |
| Entity Type | Individual |
| Full Name | JOHN T PHIPPS |
| Credential | LCSW |
| Practice Address |
1213 State Road 20 Interlachen FL 32148-2737 |
| Mailing Address |
1302 River St Palatka FL 32177-5042 |
| Practice Telephone | 3866844914 |
| Mailing Telephone | 3863280108 |
| Mailing Fax Number | 3863251086 |
| Enumeration Date | 2006-10-10 |
| Last Update Date | 2008-05-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
SW8410 | FL | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | BLUE CROSS BLUE SHIELD | Z125B | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346533197 | John Weston Phipps | Rehabilitation Practitioner | 2712 Cheshire Ct, Las Vegas, NV 89108-4435 | 2011-05-25 |
| 1043359649 | John W Phipps | Durable Medical Equipment & Medical Supplies | 1133 Willow St, Horseheads, NY 14845-2806 | 2007-02-06 |
| 1104306075 | John Philip Phipps | Speech-Language Pathologist | 47 E Grove St, Middleboro, MA 02346-1816 | 2018-08-20 |
| 1649557307 | John Darrell Phipps | Pharmacist | 6617 Dixie Hwy, Florence, KY 41042-2164 | 2011-11-09 |
| 1447210620 | John D Phipps | Internal Medicine | 105 Vest Mill Cir, Suite 201, Winston Salem, NC 27103-2943 | 2006-03-23 |
| Street Address |
1213 STATE ROAD 20 |
| City | INTERLACHEN |
| State | FL |
| Zip Code | 32148-2737 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649245804 | Myriame Vastey | Family Medicine | 1213 State Road 20, Interlachen, FL 32148-2737 | 2006-02-21 |
| 1447790241 | Nicholas Bryan Sorensen | Pharmacist | 1213 State Road 20, Interlachen, FL 32148-2737 | 2017-02-28 |
| 1811387590 | Julie Elwood | Social Worker | 1213 State Road 20, Interlachen, FL 32148-2737 | 2015-02-02 |
| 1730498916 | Joseph Anthony Altamirando | Physician Assistant | 1213 State Road 20, Interlachen, FL 32148-2737 | 2010-10-05 |
| 1497838551 | Rural Health Care, Inc. | Pharmacy | 1213 State Road 20, Interlachen, FL 32148-2737 | 2006-10-23 |
| 1831128560 | Jack Edward Pulwers Jr. | Internal Medicine | 1213 State Road 20, Interlachen, FL 32148-2737 | 2006-07-03 |
| 1477529311 | Rural Health Care Incorporated | Clinic/Center | 1213 State Road 20, Interlachen, FL 32148-2737 | 2006-02-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730702978 | Able Behavioral Health Center | Registered Nurse | Orange Blossom Manor Mb4 P92, Blk 8, Interlachen, FL 32148 | 2020-05-22 |
| 1205307188 | Luis Miguel Nunez Arroyo | General Practice | 1114 Fl-20, Interlachen, FL 32148 | 2018-12-17 |
| 1023329067 | Metro Pharmaceutical Services Inc | Pharmacy | 126-1 South Cr 315, Interlachen, FL 32148 | 2010-06-24 |
| 1326118308 | Raymond S Rood IIi | Pharmacist | 1213 Hwy 20, Interlachen, FL 32148 | 2006-11-08 |
| 1609971431 | Holiday Cvs LLC | Pharmacy | 1141 Highway 20, Interlachen, FL 32148 | 2006-09-14 |
| 1124026117 | Gerardo Antonio Pedroza-sierra | General Practice | 1114 Sr 20, Suite 300, Interlachen, FL 32148 | 2005-07-13 |
| 1487054680 | Tracy Lynn Steinmetz | Community Health Worker | 822 Selma Ave, Interlachen, FL 32148-2570 | 2014-08-26 |
| 1063749737 | Norma Iris Lopez-banuchi | Licensed Practical Nurse | 194 Reaves Ave, Interlachen, FL 32148-3632 | 2009-11-17 |
| 1740721968 | Meagan Feibelman | Specialist/Technologist | 838 Lake Shore Ter, Interlachen, FL 32148-4301 | 2017-03-20 |
| 1861646663 | Starr Hancock Gainey | Community Health Worker | 403 Walker Dr, Interlachen, FL 32148-4370 | 2008-11-06 |
| Find all providers in zip 32148 | ||||
| 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 |
|---|---|---|---|---|
| 1811387590 | Julie Elwood | Social Worker | 1213 State Road 20, Interlachen, FL 32148-2737 | 2015-02-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629679303 | Kamarie Lee Larson | Social Worker | 913 Gulf Breeze Pkwy Ste 26b, Gulf Breeze, FL 32561-4731 | 2020-11-08 |
| 1023619772 | Nichole Goff | Social Worker | 12151 Waterstone Ct Apt 826, Orlando, FL 32825-7035 | 2020-11-07 |
| 1356942262 | Shirley Roseman | Social Worker | 1450 E Sample Rd Apt 101, Pompano Beach, FL 33064-6267 | 2020-11-06 |
| 1760083729 | Phoenix Marie Klemann | Social Worker | 3311 Mona Dr, Navarre, FL 32566-9742 | 2020-11-05 |
| 1679174726 | Violett Counseling & Consulting Services LLC | Social Worker | 30 Wisteria Dr, Ormond Beach, FL 32176-2408 | 2020-11-05 |
| 1336740422 | Marissa Pinto | Social Worker | 3642 Eldron Ave, North Port, FL 34286-7453 | 2020-11-04 |
| 1710588991 | Mario Jesus Noguera | Social Worker | 18179 Nw 73rd Ave, Hialeah, FL 33015-6198 | 2020-11-04 |
| 1801497185 | Andrey Davydov | Social Worker | 3800 N Hills Dr Apt 106, Hollywood, FL 33021-2541 | 2020-11-04 |
| 1902407299 | Beverly Diane Sweeting | Social Worker | 10961 Sw Ivory Springs Ln, Port St Lucie, FL 34987-7710 | 2020-11-04 |
| 1174124622 | Cardinal Counseling Services, LLC | Social Worker | 2161 16th Ave Sw, Naples, FL 34117-4338 | 2020-11-02 |
| Find all providers with the same taxonomy | ||||
| City | INTERLACHEN |
| Zip Code | 32148 |
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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.