MARELLA PHILLIPS (NPI# 1568661411) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568661411 |
| Entity Type | Individual |
| Full Name | MARELLA PHILLIPS |
| Credential | MSW, LCSW |
| Practice Address |
111 Piedmont Ave Gibsonville NC 27249-2450 |
| Mailing Address |
1392 Taylor Heath Rd Kinston NC 28501-7151 |
| Practice Telephone | 3364496150 |
| Practice Fax Number | 3364497368 |
| Mailing Telephone | 3364496150 |
| Mailing Fax Number | 3364497368 |
| Enumeration Date | 2007-07-12 |
| Last Update Date | 2012-04-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
C006629 | NC | Behavioral Health & Social Service Providers |
| N | 1041C0700X |
Social Worker Specialization: Clinical |
P003837 | NC | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 3403407 | 05 |
| Street Address |
111 PIEDMONT AVE |
| City | GIBSONVILLE |
| State | NC |
| Zip Code | 27249-2450 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801913140 | Gayle Renee Compton | Speech-Language Pathologist | 111 Piedmont Ave, Gibsonville, NC 27249-2450 | 2007-03-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679758734 | Kirby J. Ransom Dmd Pa II | Dentist | 408 Burlington Ave, Gibsonville, NC 27249-0198 | 2008-01-08 |
| 1962585034 | David Anthony Roberts | Dentist | 408 Burlington Street, Gibsonville, NC 27249-0348 | 2006-10-23 |
| 1265780035 | Home Meadows Services LLC | Assisted Living Facility | 605 Whitsett Ave, Gibsonville, NC 27249-2042 | 2012-08-27 |
| 1083033716 | Union Avenue Group Home II | Custodial Care Facility | 605 Whitsett Ave, Gibsonville, NC 27249-2042 | 2014-04-09 |
| 1023399292 | Chavis Manor, LLC | Assisted Living Facility | 204 Circle Dr, Gibsonville, NC 27249-2310 | 2011-09-01 |
| 1356578470 | Smith Works Pharmacy Inc | Pharmacy | 235 Burke St, Gibsonville, NC 27249-2402 | 2009-06-16 |
| 1275015554 | Haleigh Cooper | Chiropractor | 107 Lewis St, Gibsonville, NC 27249-2436 | 2018-09-03 |
| 1730663733 | Community First Chiropractic Pllc | Chiropractor | 107 Lewis St, Gibsonville, NC 27249-2436 | 2018-09-17 |
| 1811999154 | Piedmont Satellite Service Center Inc | Durable Medical Equipment & Medical Supplies | 1230 Springwood Church Road, Gibsonville, NC 27249-2646 | 2005-06-01 |
| 1033342290 | Penny Annette Williams | Prosthetic/Orthotic Supplier | 1230 Springwood Church Rd, Gibsonville, NC 27249-2667 | 2009-09-03 |
| Find all providers in zip 27249 | ||||
| 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 |
|---|---|---|---|---|
| 1174166466 | Eileen Martin | Social Worker | 30 Driftwood Ct, Gibsonville, NC 27249-3318 | 2019-10-20 |
| 1235124702 | Philip Edward Miller | Social Worker | 215 Travis Ln, Gibsonville, NC 27249-3304 | 2005-09-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740881887 | Lillian Jean Goodkind | Social Worker | 68 N French Broad Ave, Asheville, NC 28801-2600 | 2020-11-05 |
| 1770184657 | Delia Hearon | Social Worker | 100 Village Circle Way Apt 216, Durham, NC 27713-6131 | 2020-11-05 |
| 1346841459 | Mickaella Ann Moser | Social Worker | 3030 Adams Blvd Apt 13, Greenville, NC 27858-4840 | 2020-11-04 |
| 1750981346 | Tarsha M. Hall | Social Worker | 645 Spruce Garden Ct, Rural Hall, NC 27045-9159 | 2020-11-01 |
| 1184224727 | Kwanza Suzanne Winn | Social Worker | 2510 Hope Way Ln Apt 202, Charlotte, NC 28262-6955 | 2020-10-30 |
| 1164022570 | Directional Care Community Services LLC. | Social Worker | 6220 Sid Crane Dr, Charlotte, NC 28216-7684 | 2020-10-27 |
| 1295335602 | Macie Whitlow | Social Worker | 1825 W City Dr Ste A&b, Elizabeth City, NC 27909-9675 | 2020-10-27 |
| 1689274011 | Ashleigh Weckesser | Social Worker | 216 Reams Dr, Middlesex, NC 27557-8650 | 2020-10-26 |
| 1750980256 | Victoria Snow | Social Worker | 504 E Pettigrew St Apt 449, Durham, NC 27701-3888 | 2020-10-26 |
| 1053910729 | Renewed Mindset Therapeutic Services, Pllc | Social Worker | 349 Copperfield Blvd Suite L #334, Concord, NC 28025 | 2020-10-22 |
| Find all providers with the same taxonomy | ||||
| City | GIBSONVILLE |
| Zip Code | 27249 |
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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.