MS. TRACI LEE PHILLIPS-PERKINS (NPI# 1295027217) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295027217 |
| Entity Type | Individual |
| Full Name | MS. TRACI LEE PHILLIPS-PERKINS |
| Credential | LCSW-R |
| Practice Address |
453 Dixon Rd Bldg. 3 Ste. 8 Queensbury NY 12804-1949 |
| Mailing Address |
Po Box 4176 Queensbury NY 12804-0176 |
| Practice Telephone | 5184207466 |
| Practice Fax Number | 5187455731 |
| Mailing Telephone | 5184207466 |
| Enumeration Date | 2011-05-10 |
| Last Update Date | 2012-10-18 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
R073014-1 | NY | Behavioral Health & Social Service Providers |
| Street Address |
453 DIXON RD BLDG. 3 STE. 8 |
| City | QUEENSBURY |
| State | NY |
| Zip Code | 12804-1949 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801899745 | H John Schutze II | Dentist | 453 Dixon Rd, Ste 3, Queensbury, NY 12804-1964 | 2005-05-24 |
| 1467865618 | Mark A Franklin | Dentist | 453 Dixon Rd, Suite 5, Queensbury, NY 12804-1949 | 2014-06-05 |
| 1932409810 | Elizabeth Karen Samenfeld-specht | Marriage & Family Therapist | 453 Dixon Rd, Bldg 3, Suite 6, Queensbury, NY 12804-1964 | 2010-10-26 |
| 1104089903 | Jacob Dylan Merryman | Dentist | 453 Dixon Rd, Suite #3, Queensbury, NY 12804-1964 | 2008-07-02 |
| 1972711620 | Ronald Joseph Delsignore | Dentist | 453 Dixon Rd, Suite 4, Queensbury, NY 12804-1964 | 2007-05-18 |
| 1598985137 | Patrick J. Esmond Dds, Pllc | Dentist | 453 Dixon Rd, Suite 5, Queensbury, NY 12804-1964 | 2007-04-26 |
| 1073640231 | William Daniel Billington | Dentist | 453 Dixon Rd, Queensbury, NY 12804-1964 | 2007-02-27 |
| 1881602860 | Patrick J Esmond | Dentist | 453 Dixon Rd, Suite 5, Queensbury, NY 12804 | 2006-08-04 |
| 1225058753 | Lilianne N Dobert | Social Worker | 453 Dixon Rd, Bldg 3 Ste 8, Queensbury, NY 12804-1949 | 2006-07-20 |
| 1871553719 | Jonathan Michael Schutze | Dentist | 453 Dixon Rd, Suite 3, Queensbury, NY 12804-1964 | 2006-03-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265060958 | Dani Grace Filicetti | Student in an Organized Health Care Education/Training Program | 423 Bay Rd, Queensbury, NY 12804 | 2020-03-30 |
| 1861977704 | Leslie Ann Warren | Counselor | 24 Cedarwood Drive, Queensbury, NY 12804 | 2018-09-26 |
| 1598294910 | Molly Gillespie | Speech-Language Pathologist | 9 Sylvan Ave, Queensbury, NY 12804 | 2017-06-08 |
| 1306207196 | Dorothy Duggan | Registered Nurse | 128 Aviation Road, Queensbury, NY 12804 | 2016-03-08 |
| 1568731115 | Kph Healthcare Services, Inc. | Pharmacy | 161 Carey Road, Queensbury, NY 12804 | 2011-12-27 |
| 1164701017 | Wal-mart Stores East Lp | Technician/Technologist | 24 Quaker Ridge Blvd, Queensbury, NY 12804 | 2011-08-10 |
| 1821275256 | Koock E Jung Md PC | Social Worker | 597 Bay Road, Queensbury, NY 12804 | 2008-01-29 |
| 1477765246 | Warren Washington Counties Chapter Nysarc Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 375 Bay Road, Suite 200, Queensbury, NY 12804 | 2007-05-04 |
| 1336299742 | Town of Queensbury Union Free School District 2 | Local Education Agency (LEA) | 429 Aviation Road, Queensbury, NY 12804 | 2007-01-11 |
| 1578658761 | Richard Jay Reisman | Dentist | 8 Baywood Drive, Glens Falls, NY 12804 | 2006-10-04 |
| Find all providers in zip 12804 | ||||
| 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 |
|---|---|---|---|---|
| 1780159392 | Vanessa R Ives | Social Worker | 27 Essex Ct, Queensbury, NY 12804-7892 | 2018-10-10 |
| 1972978211 | Beth Bishop | Social Worker | 24 Hyde Ct, Queensbury, NY 12804-6425 | 2015-12-12 |
| 1821275256 | Koock E Jung Md PC | Social Worker | 597 Bay Road, Queensbury, NY 12804 | 2008-01-29 |
| 1992810261 | Deborah Lynn Teppo | Social Worker | 527 Bay Rd Ste 101, Queensbury, NY 12804-1430 | 2006-08-20 |
| 1912924770 | Joan Bush Lemery | Social Worker | 597 Bay Rd, Queensbury, NY 12804-1444 | 2006-07-17 |
| 1861446171 | James William Grinter IIi | Social Worker | 84 Broad St, Va Primary Care, Queensbury, NY 12801-4381 | 2006-05-20 |
| 1902414188 | Jessica L Keller | Social Worker | 375 Bay Rd, Queensbury, NY 12804-3012 | 2020-07-14 |
| 1649751348 | Amy Marie Baker | Social Worker | 375 Bay Rd, Queensbury, NY 12804-3012 | 2018-08-22 |
| 1679086557 | Simone Furbert | Social Worker | 375 Bay Rd Ste 203, Queensbury, NY 12804-3013 | 2017-11-14 |
| 1538565700 | Brianna Degregory | Social Worker | 161 Carey Rd, Queensbury, NY 12804-7821 | 2014-11-14 |
| Find all providers in QUEENSBURY | ||||
| City | QUEENSBURY |
| Zip Code | 12804 |
Please comment or provide details below to improve the information on MS. TRACI LEE PHILLIPS-PERKINS.
| 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.