PHILLIP CARR (NPI# 1417256744) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417256744 |
| Entity Type | Individual |
| Full Name | PHILLIP CARR |
| Credential | LICSW |
| Practice Address |
2910 E Madison St Ste 112 Seattle WA 98112-4214 |
| Practice Telephone | 2069543348 |
| Practice Fax Number | 2065666913 |
| Mailing Telephone | 2069543348 |
| Mailing Fax Number | 2065666913 |
| Enumeration Date | 2011-03-25 |
| Last Update Date | 2019-03-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 104100000X | Social Worker | SC60189451 | WA | Behavioral Health & Social Service Providers |
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
LW60494715 | WA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053677989 | Phillip William Carr | Specialist | 289 Water Point Ln, Reeds Spring, MO 65737-8426 | 2012-04-04 |
| 1063456747 | Phillip C Carr | Obstetrics & Gynecology | 10 N Locust St Ste C, Oxford, OH 45056-1182 | 2006-06-15 |
| 1255949467 | Phillip Carr | Physical Therapist | 23961 Calle De La Magdalena, Laguna Hills, CA 92653-3616 | 2020-07-14 |
| 1104009455 | Phillip Bradshaw Carr | Counselor | 201 W Springdale Ave, Knoxville, TN 37917-5158 | 2007-12-10 |
| Street Address |
2910 E MADISON ST STE 112 |
| City | SEATTLE |
| State | WA |
| Zip Code | 98112-4214 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851558431 | Brian Desroches | Marriage & Family Therapist | 2910 E Madison St Ste 112, Seattle, WA 98112-4214 | 2008-05-21 |
| 1669982658 | Jovonna Hale | Counselor | 2910 E Madison St Ste 112, Seattle, WA 98112 | 2017-10-04 |
| 1881144392 | Tracy Piette | Counselor | 2910 E Madison St Ste 112, Seattle, WA 98112-4214 | 2016-10-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891254991 | Justin Jeng-young Fu | Student in an Organized Health Care Education/Training Program | 125 16 Th Ave E, Csb 545, Seattle, WA 98112 | 2019-03-18 |
| 1275015604 | Eyewear Gallery LLC | Optometrist | 3121 E. Madison St Ste 102, Seattle, WA 98112 | 2018-09-01 |
| 1336637081 | Oh Plastic and Reconstructive Surgery LLC | Plastic Surgery | 602 27th Ave E, Seattle, WA 98112 | 2018-04-27 |
| 1992228191 | John Joseph Folta | Chiropractor | 3121 E Madison St Ste 103a, Seattle, WA 98112 | 2017-07-19 |
| 1083161061 | Sheick Toure | Counselor | 122 16 Ave E, Seattle, WA 98112 | 2016-09-07 |
| 1457721805 | Jessica Donovan | Audiologist | 201 16th Ave E # Cmb, Seattle, WA 98112 | 2015-09-29 |
| 1952777427 | Ronald Berenson | Physiological Laboratory | 2032 41st Avenue, Seattle, WA 98112 | 2015-08-19 |
| 1225419005 | Adrienne Foley | Counselor | 1833 40th Ave. E., Seattle, WA 98112 | 2015-06-17 |
| 1952721771 | Ling Guo | Internal Medicine | Kaiser Permanente Central Hospital Building, 126 16th Ave E, Seattle, WA 98112 | 2014-04-19 |
| 1134548068 | Anne Gayman | Family Medicine | 125 16th Avenue East, Csb-540, Group Health Family Medicine Residency, Seattle, WA 98112 | 2014-04-08 |
| Find all providers in zip 98112 | ||||
| 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 |
|---|---|---|---|---|
| 1063011609 | Caroline A Lanza | Social Worker | 13035 39th Ave Ne, Seattle, WA 98125-4613 | 2020-10-24 |
| 1730787540 | Regina Yeh | Social Worker | 5011b 44th Ave Ne, Seattle, WA 98105-2909 | 2020-10-14 |
| 1447864889 | Noah Starer | Social Worker | 3719 S Angeline St Apt 2, Seattle, WA 98118-1761 | 2020-09-02 |
| 1073123733 | Namkung Counseling | Social Worker | 2611 Ne 125th St Ste 116, Seattle, WA 98125-4374 | 2020-08-06 |
| 1912515503 | Madeline Cody Ritter | Social Worker | 1818 E Madison St Apt 407, Seattle, WA 98122-3184 | 2020-07-20 |
| 1679191761 | Sarah Louise Gossman Davis | Social Worker | 2100 Westlake Ave N Ste 201, Seattle, WA 98109-5802 | 2020-07-06 |
| 1184249021 | Jennifer J Moyer-taylor | Social Worker | 13532 15th Pl Ne, Seattle, WA 98125-3202 | 2020-06-16 |
| 1528682440 | Perinatal Support Washington | Social Worker | 2319 N 45th St Ste 303, Seattle, WA 98103-6979 | 2020-06-05 |
| 1063033678 | Kate Brickell | Social Worker | 2524 16th Ave S # 305, Seattle, WA 98144-5104 | 2020-05-05 |
| 1710507439 | Sara Miller Brown | Social Worker | 905 Dexter Ave N Apt L100, Seattle, WA 98109-3891 | 2020-04-22 |
| Find all providers in SEATTLE | ||||
Please comment or provide details below to improve the information on PHILLIP CARR.
| 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.