TRACEY C PHILLIPS (NPI# 1508155441) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508155441 |
| Entity Type | Individual |
| Full Name | TRACEY C PHILLIPS |
| Other Name | TRACEY C OXLEY |
| Credential | LCSW |
| Practice Address |
35 Holly Ave Shalimar FL 32579-1105 |
| Practice Telephone | 7062489215 |
| Mailing Telephone | 7062489215 |
| Enumeration Date | 2011-03-31 |
| Last Update Date | 2020-01-07 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1041C0700X |
Social Worker Specialization: Clinical |
CSW12000 | FL | Behavioral Health & Social Service Providers |
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
CSW003867 | GA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811148968 | Tracey A Phillips | Physical Therapist | 162 Carpin Ln, Weedville, PA 15868-2916 | 2008-10-07 |
| 1740465434 | Tracey Lynn Phillips | Psychologist | 10422 Spencer Ct, Mitchellville, MD 20721-1834 | 2008-01-01 |
| 1073863742 | Tracey Phillips | Social Worker | 4390 Belle Oaks Dr, North Charleston, SC 29405-8559 | 2012-09-11 |
| 1083762710 | Tracey Boykin Phillips | Nurse Practitioner | 1520 Sunday Dr, Raleigh, NC 27607-5253 | 2007-01-08 |
| Street Address |
35 HOLLY AVE |
| City | SHALIMAR |
| State | FL |
| Zip Code | 32579-1105 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407382278 | Rehabcare Group East, LLC | Clinic/Center | 1200 Hawthorne Hse Dr, Shalimar, FL 32579 | 2017-05-11 |
| 1952685570 | Gary Anthony Moeller | Dentist | 1 Eleventh Ave, Suite D-3, Shalimar, FL 32579 | 2011-09-30 |
| 1366538035 | Bradley Hamilton Young | Chiropractor | 6 11th Avenue, Suite H-3, Shalimar, FL 32579 | 2006-10-04 |
| 1932111564 | Shalimar Family Dentistry | Dentist | 1 Eleventh Avenue, D-3, Shalimar, FL 32579 | 2006-08-12 |
| 1972761757 | Dr Bradley H Young D C P A | Chiropractor | 6 11th Avenue, Suite H-3, Shalimar, FL 32579 | 2008-05-28 |
| 1528155413 | Howard T Goodpaster | Dentist | 1 Eleventh Avenue, Suite D3, Shclimar, FL 32579 | 2006-10-10 |
| 1912094830 | Lisa E Fletcher | Dentist | 1 Eleventh Avenue, Suite D3, Shclimar, FL 32579 | 2006-10-10 |
| 1255583795 | Ann Mcmanis | Pharmacist | 15 Healthcare Ln, Shalimar, FL 32579-0000 | 2008-10-15 |
| 1699950857 | Karen Michelle Reid | Counselor | 21 Longwood Dr, Shalimar, FL 32579-1013 | 2008-01-07 |
| 1285876540 | Beyond Expectations | Counselor | 21 Longwood Dr, Shalimar, FL 32579-1013 | 2009-04-01 |
| Find all providers in zip 32579 | ||||
| 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 |
|---|---|---|---|---|
| 1154988772 | The Healing Impact, Inc | Social Worker | 2816 Jack Nicklaus Way, Shalimar, FL 32579-2225 | 2019-05-20 |
| 1912270752 | Rebecca Kerry Gilpatrick | Social Worker | 99 Lake Lorraine Cir, Shalimar, FL 32579-1617 | 2012-02-09 |
| 1043539711 | Deborah Lynn Kern | Social Worker | 44 Magnolia Ave, Shalimar, FL 32579-1110 | 2010-05-20 |
| 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 | ||||
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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.