PHILLIP HATHAWAY (NPI# 1316507296) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316507296 |
| Entity Type | Individual |
| Full Name | PHILLIP HATHAWAY |
| Credential | LMSW |
| Practice Address |
253 S 2nd E Bsmt Rexburg ID 83440-2202 |
| Practice Telephone | 2532323957 |
| Mailing Telephone | 2532323957 |
| Enumeration Date | 2019-06-13 |
| Last Update Date | 2019-06-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
LMSW-38731 | ID | Behavioral Health & Social Service Providers |
| Street Address |
253 S 2ND E BSMT |
| City | REXBURG |
| State | ID |
| Zip Code | 83440-2202 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235768490 | Henry's Fork Surgery Center Pllc | Clinic/Center | 23 Sawtelle Ave, Rexburg, ID 83440 | 2020-04-08 |
| 1952956906 | Shane Ellis Withers | Pharmacist | 164 E. Main, Rexburg, ID 83440 | 2019-08-06 |
| 1316392285 | Emma Anderson | Speech-Language Pathologist | 36 Professional Plaza Suite 110, Rexburg, ID 83440 | 2016-04-28 |
| 1851755524 | Sandra Frickey | Speech-Language Pathologist | 1087 Summers Drive, Premier Therapy Associates, Rexburg, ID 83440 | 2016-04-08 |
| 1275997215 | Kerry Denney | Counselor | 333 Walker Drive, Rexburg, ID 83440 | 2016-04-06 |
| 1467837583 | Wal-mart Stores, Inc. | Technician/Technologist | 303 E Moody Rd, Rexburg, ID 83440 | 2015-07-30 |
| 1649692609 | Tanabell Health Services, Inc. | Skilled Nursing Facility | 410 W 1st N, Rexburg, ID 83440 | 2014-01-10 |
| 1043652571 | Creed Simon Webster | Counselor | 30 S 2nd W, Rexburg, ID 83440 | 2013-07-25 |
| 1033461660 | James Cannon Allen Dds PC | Dentist | 106 E 1st North, Rexburg, ID 83440 | 2012-10-05 |
| 1417217316 | Shelby Dee Woolstenhulme | Speech-Language Pathologist | 450 E. Main Street, Rexburg, ID 83440 | 2012-05-24 |
| Find all providers in zip 83440 | ||||
| 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 |
|---|---|---|---|---|
| 1871030213 | Cheryl Gimmeson | Social Worker | 118 N 3rd W, Rexburg, ID 83440-1410 | 2017-01-24 |
| 1619351483 | Jeffrey Shirl Finch | Social Worker | 859 S Yellowstone Hwy Ste 302, Rexburg, ID 83440-5294 | 2015-07-11 |
| 1588969646 | Bruce W Blanchard | Social Worker | 27 K St, Rexburg, ID 83440-1441 | 2011-01-21 |
| 1972827376 | Donald Reed Hendricks | Social Worker | 232 East 5th South, Rexburg, ID 83440 | 2010-03-15 |
| 1992903561 | Leif Holbrook Sorensen | Social Worker | 343 East 4th North, Suite 101, Rexburg, ID 83440-1712 | 2007-07-05 |
| 1376740134 | Wade Gordon | Social Worker | 310 N 2nd E, Suite 128, Rexburg, ID 83440-1600 | 2007-06-27 |
| 1457575771 | Vail Codling | Social Worker | 631 N 200 E, Suite 1, Rexburg, ID 83440-3599 | 2007-04-11 |
| 1760505747 | Jared Ryan Ostermiller | Social Worker | 242 E 7th N, Ste 4, Rexburg, ID 83440-3550 | 2007-04-06 |
| 1811064801 | J Reed Stoddard | Social Worker | 200 Shc, Rexburg, ID 83460-2020 | 2006-11-29 |
| 1518583913 | Mckensie Bartholomew | Social Worker | 242 E 7th N Ste 4, Rexburg, ID 83440-3550 | 2020-06-22 |
| Find all providers in REXBURG | ||||
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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.