DR. JANE HARAKAL PHILLIPS


Address: 4150 International Plz, Fort Worth, TX 76109-4892
Phone: 6822256990

DR. JANE HARAKAL PHILLIPS (NPI# 1164582433) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1164582433
Entity Type Individual
Full Name DR. JANE HARAKAL PHILLIPS
Credential PH.D, LCSW
Practice Address 4150 International Plz
Fort Worth
TX 76109-4892
Mailing Address 3909 Paluxy Hwy
Granbury
TX 76048-5538
Practice Telephone 6822256990
Practice Fax Number 8178604082
Mailing Telephone 6822256990
Mailing Fax Number 8178604082
Enumeration Date 2006-12-09
Last Update Date 2013-06-24
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1041C0700X Social Worker
Specialization: Clinical
34663 TX Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
TX 1752982 05

Other Providers JANE PHILLIPS

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1518460203 Jane C Phillips Licensed Practical Nurse 1914 Mercer Ave, Farrell, PA 16121-2505 2018-03-09
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1356611743 Jane Elizabeth Phillips Counselor 1604 N Washington Ave, Durant, OK 74701-2128 2012-01-03
1689962243 Jane Ball Phillips Counselor 910 Cook Rd, Orangeburg, SC 29118-2124 2011-07-18
1881725125 Jane Ellen Phillips Nurse Practitioner 200 Heartcenter Ln, Hot Springs, AR 71913-6351 2007-03-08
1982686697 Jane J Phillips Physician Assistant 316 Del Prado Blvd S, Ste. 201, Cape Coral, FL 33990-1710 2005-11-17

Office Location

Street Address 4150 INTERNATIONAL PLZ
City FORT WORTH
State TX
Zip Code 76109-4892

Providers in the same location

NPI Name Taxonomy Address Enumeration
1902351166 The Lasik Vision Institute LLC Clinic/Center 4150 International Plz, Suite 150, Fort Worth, TX 76109-4892 2016-08-17
1205132065 Executive Producers Psychologist 4150 International Plz, Ste 600, Fort Worth, TX 76109-4892 2011-01-26
1184875742 Monya Crow Counselor 4150 International Plz, Suite 600, Fort Worth, TX 76109-4892 2008-10-01
1164686416 Lisa Garrett Farhat Counselor 4150 International Plz, Suite 600, Fort Worth, TX 76109-4892 2008-07-16
1891981783 Fort Worth I Enterprises, LLC Portable X-ray and/or Other Portable Diagnostic Imaging Supplier 4150 International Plz, Suite 624, Fort Worth, TX 76109-4892 2007-09-24

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1881156164 Elizabeth Laborde Dds Pllc Clinic/Center 5656 Edwards Ranch Rd, Fort Worth, TX 76109 2019-04-04
1992273965 Debra Cooper Lantz Occupational Therapist 4252 Bryant Irvin Road, Fort Worth, TX 76109 2018-11-08
1417434119 Dermatology Specialists of Fort Worth Pllc Dermatology 6100 Southwest Blvd., Suite 100, Fort Worth, TX 76109 2018-07-25
1417446709 Eating Recovery Center of Texas, LLC Clinic/Center 4200 S. Hulen Street, Suite #436, Ft. Worth, TX 76109 2018-05-02
1245751742 Marissa Izabel San Miguel Optometrist 5912 Convair Dr Ste 208, Fort Worth, TX 76109 2017-07-05
1174910111 Parkway Dental Professionals Preferred Provider Organization 4200 Bryant Irvin Rd. Ste. 101, Fort Worth, TX 76109 2015-04-16
1831583095 Deborah K Lehmann, M.d. Clinic/Center 6420 Southwest Blvd., #128, Fort Worth, TX 76109 2015-03-26
1184036428 Ft Worth Ranch Assist, LLC Neurological Surgery 3516 Ranch View Terrace, Fort Worth, TX 76109 2014-05-21
1821435538 Metx LLC Hearing Instrument Specialist 4618 Sw Loop 820, Fort Worth, TX 76109 2013-06-04
1356608087 Virginia Flores Social Worker 4208 Ranier Ct, Fort Worth, TX 76109 2012-04-19
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Taxonomy Information

Taxonomy Code 1041C0700X
Grouping Behavioral Health & Social Service Providers
Classification Social Worker
Specialization Clinical

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1902410756 Cowtown Counseling Pllc Social Worker 3270 Marys Ln, Fort Worth, TX 76116-4328 2020-08-31
1437762770 Brandi Lashay Rhoden Social Worker 1720 Birds Eye Rd, Fort Worth, TX 76177-7548 2020-08-26
1063023067 Brianna Snow Social Worker 2900 Race St Apt 156, Fort Worth, TX 76111-4170 2020-08-12
1871118745 Raven Temeka Brown-mckinney Social Worker 7609 Bancroft Cir, Fort Worth, TX 76120-2491 2020-06-16
1356965123 Courtney Shipp Social Worker 9211 Dale Lane Ct Apt 248, Fort Worth, TX 76108-2655 2020-06-08
1457974966 Roberta Christine Mcknight-dupas Social Worker 6908 Greenlee St, Fort Worth, TX 76112-5602 2020-05-19
1336777010 Renese Ann Super Social Worker 12333 Red Birch Ln, Fort Worth, TX 76244-4597 2020-03-30
1194358499 Karen Brooks Social Worker 8551 Boat Club Rd Ste 115, Fort Worth, TX 76179-3674 2020-02-15
1851922728 Melissa Dawn Monteiro Social Worker 1307 8th Ave Ste 301, Fort Worth, TX 76104-4140 2020-01-30
1417588369 Ann Keith Social Worker 225 Casa Blanca Ave, Fort Worth, TX 76107-7720 2020-01-29
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Competitor

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City FORT WORTH
Zip Code 76109

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Dataset Information

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.

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