JESSICA ROSE PHIPPS


Address: 1615 Polo Rd, Winston Salem, NC 27106-3831
Phone: 3367227266

JESSICA ROSE PHIPPS (NPI# 1518217033) 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) 1518217033
Entity Type Individual
Full Name JESSICA ROSE PHIPPS
Credential LCSW
Practice Address 1615 Polo Rd
Winston Salem
NC 27106-3831
Practice Telephone 3367227266
Practice Fax Number 3362010538
Mailing Telephone 3367227266
Mailing Fax Number 3362010538
Enumeration Date 2012-09-12
Last Update Date 2015-08-13
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1041C0700X Social Worker
Specialization: Clinical
C009159 NC Behavioral Health & Social Service Providers

Other Providers JESSICA PHIPPS

NPI Name Taxonomy Address Enumeration
1972115921 Jessica Renea Phipps Pharmacist 1388 Volunteer Pkwy, Bristol, TN 37620-5700 2020-08-20
1992165187 Jessica Lee Phipps Counselor 815 Grandview Road, Oil City, PA 16301 2016-03-01

Office Location

Street Address 1615 POLO RD
City WINSTON SALEM
State NC
Zip Code 27106-3831

Providers in the same location

NPI Name Taxonomy Address Enumeration
1427034768 Christopher Bruns Aiken Psychiatry & Neurology 1615 Polo Rd, Winston Salem, NC 27106-3859 2005-12-19
1386206654 Tina Long Spach Social Worker 1615 Polo Rd, Winston Salem, NC 27106-3831 2019-07-08
1588159834 Esther Simone Suess Counselor 1615 Polo Rd, Winston Salem, NC 27106-3831 2018-06-28
1336632009 Bethany Godwin Counselor 1615 Polo Rd, Winston Salem, NC 27106-3831 2018-06-07
1740782507 Rebecca Stevens Counselor 1615 Polo Rd, Winston Salem, NC 27106-3831 2018-03-07
1417495458 Lindsay Reynolds Social Worker 1615 Polo Rd, Winston Salem, NC 27106-3831 2017-02-10
1649718180 Kellie Newsome Registered Nurse 1615 Polo Rd, Winston Salem, NC 27106-3831 2017-02-04
1598213993 Kelly Welch Joyce Counselor 1615 Polo Rd, Winston Salem, NC 27106-3831 2016-09-14
1053798694 Valerie Vestal Nurse Practitioner 1615 Polo Rd, Winston Salem, NC 27106-3831 2015-05-04
1437568334 Jill Elyse Gaukstern Counselor 1615 Polo Rd, Winston Salem, NC 27106-3831 2014-08-05
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1437799103 Tyler Laura Lawrence Behavioral Analyst 1959 N Peace, 104, Winston-salem, NC 27106 2020-01-10
1316504624 Amanda Baker Behavior Technician 1959 N Peace Haven Rd, Suite 104, Winston Salem, NC 27106 2019-05-22
1679030316 Lavonda Williams Behavior Technician 1959 N Peace Haven Road, Winston Salem, NC 27106 2019-03-01
1518436708 Angela Ruth Brown Physical Therapy Assistant 190 Moravian Way Drive, Winston-salem, NC 27106 2018-11-16
1407378896 Applied Family Services of Winston-salem Early Intervention Provider Agency 4220 Witherow Rd, Winston Salem, NC 27106 2017-07-07
1750801676 Julia Ann Horton Speech-Language Pathologist 2000 Salemtowne Drive, Winston Salem, NC 27106 2017-06-21
1124548037 Tyler John Jones Community Health Worker 7014 Brandemere Ln. Apt F, Winston Salem, NC 27106 2017-06-21
1396274759 Jennifer Cui Social Worker 3216 Cross Tree Rd, Winston-salem, NC 27106 2017-06-08
1063947802 Rebecca Jeanette Mclemore Social Worker 4401 Providence Ln. #121, Top Priority Care Services, LLC., Winston-salem, NC 27106 2017-05-01
1720529357 Rising Hope Clinical Assistance, LLC Community/Behavioral Health 510 Northgate Park Dr, Winston Salem, NC 27106 2017-03-15
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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
1649884362 Ranesha Denae Boyd Social Worker 2270 Naomi Dr, Winston Salem, NC 27107-4602 2020-09-01
1326665563 Kristy Dobbins Social Worker 3240 Trenchard Ln, Winston Salem, NC 27127-5927 2020-07-04
1033731781 Robert D Worley Social Worker 480 Virginia Newell Ln, Winston Salem, NC 27101-4575 2020-05-15
1659900793 Peaty Counseling and Consulting, Pllc Social Worker 1250 Foxhall Dr, Winston Salem, NC 27106-4436 2020-04-01
1407482862 Jaime Wright Social Worker 3000 Bethesda Pl Ste 801, Winston Salem, NC 27103-3330 2020-03-18
1043778210 Bernice Cook Social Worker 2223 Greenway Ave, Winston Salem, NC 27105-5120 2019-03-06
1285103812 Kimberley Renee Hunt Social Worker 4711 Seminole Ct, Winston Salem, NC 27127-9432 2018-11-13
1619459864 Shadae T Williams Social Worker 1224 Collegian Ter, Winston Salem, NC 27106-6340 2018-09-04
1104321017 Melanie Carol Mccarthy Social Worker 1202 Miller St, Winston Salem, NC 27103-4445 2018-03-25
1417459371 Awakenings Counseling Social Worker 770 Highland Oaks Dr # 100, Winston Salem, NC 27103-7105 2018-03-06
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Competitor

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City WINSTON SALEM
Zip Code 27106

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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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