SHANE PHILLIPS


Address: 411 Trent Drive, Durham, NC 27710-0001
Phone: 4047832603

SHANE PHILLIPS (NPI# 1588166243) 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) 1588166243
Entity Type Individual
Full Name SHANE PHILLIPS
Credential LCAS, LCSWA
Practice Address 411 Trent Drive
Durham
NC 27710-0001
Mailing Address 2302 Lyon St
Raleigh
NC 27608-2014
Practice Telephone 4047832603
Enumeration Date 2018-03-08
Last Update Date 2018-03-08
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 101YA0400X Counselor
Specialization: Addiction (Substance Use Disorder)
23890 NC Behavioral Health & Social Service Providers
Y 1041C0700X Social Worker
Specialization: Clinical
PO11867 NC Behavioral Health & Social Service Providers

Other Providers SHANE PHILLIPS

NPI Name Taxonomy Address Enumeration
1700913894 Shane L. Phillips Dentist 1355 N University Ave. 330, Provo, UT 84604 2007-02-27

Office Location

Street Address 411 TRENT DRIVE
City DURHAM
State NC
Zip Code 27710-0001

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1255978334 Anna Rapoport Nurse Practitioner Duke Medicine Center, 40 Duke Medicine Circle, Durham, NC 27710 2019-12-08
1649764846 Kelly Johanna Valencia Nurse Practitioner 2301 Erwin Road Duke North Box # 3677, Durham, NC 27710 2018-06-20
1437656717 Hugh Khoi Quach Student in an Organized Health Care Education/Training Program 2301 Erwin Road, Durham, Durham, NC 27710 2018-04-12
1154827046 Shannon M Beeley Registered Nurse Duke Rheumatology Clinic 40 Medicine Circle Cinic 1j, Durham, NC 27710 2018-04-01
1669902862 Hilary Kristina Dietz Student in an Organized Health Care Education/Training Program 30 Duke Medicine Circle Drive, Morris Building Room 25169, Durham, NC 27710 2017-06-20
1174071443 Gabriel Streisfeld Physical Therapist 2301 Erwin Rd Dumc 3965, Durham, NC 27710 2016-09-15
1568810505 Amber Mcvey Nurse Practitioner 04276 Hospital South Box 3677, Durham, NC 27710 2016-06-01
1891149696 Tiziana T Coppola Student in an Organized Health Care Education/Training Program 2301 Erwin Rd, Durham, NC 27710 2016-04-18
1568822864 Nicole Smith Nurse Practitioner 2301 Erwin Rd Box 3116, Durham, NC 27710 2016-02-29
1548656150 Jesse David Rhodes Hospitalist Hospital Medicine, Duke University Hospital, 40 Duke Medicine Circle, Durham, NC 27710 2015-04-09
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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
1770184657 Delia Hearon Social Worker 100 Village Circle Way Apt 216, Durham, NC 27713-6131 2020-11-05
1750980256 Victoria Snow Social Worker 504 E Pettigrew St Apt 449, Durham, NC 27701-3888 2020-10-26
1053910984 Tedra Cook Social Worker 313 Chestnut Oak Pl, Durham, NC 27704-5196 2020-10-21
1821695644 Adam Tannenbaum Social Worker 1821 Hillandale Rd Ste 1b-154, Durham, NC 27705-2659 2020-10-05
1831706373 Elena Plocek Social Worker 2617 Farthing St, Durham, NC 27704-4203 2020-09-29
1225643323 Aisha S Lewis Social Worker 79 Willow Bridge Dr, Durham, NC 27707-5457 2020-09-15
1639781354 Inner Knowing Clinical Therapy LLC Social Worker 117 Brown Rd, Durham, ME 04222-5213 2020-08-24
1730791765 Katrina P Martin Social Worker 2511 N Roxboro St, Durham, NC 27704-4347 2020-08-20
1194337758 Ashley Esry Social Worker 1728 Euclid Rd, Durham, NC 27713-2415 2020-08-17
1265050124 Amber Cox Social Worker 3622 Lyckan Pkwy Ste 5007, Durham, NC 27707-2539 2020-07-08
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Competitor

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City DURHAM
Zip Code 27710

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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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