KATHY MELINDA PHILLIPS (NPI# 1750564191) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750564191 |
| Entity Type | Individual |
| Full Name | KATHY MELINDA PHILLIPS |
| Other Name | KATHY MELINDA STEVENS |
| Credential | LMSW |
| Practice Address |
2971 Fort Henry Dr Kingsport TN 37664-4005 |
| Mailing Address |
2991 Fort Henry Dr Kingsport TN 37664-4005 |
| Practice Telephone | 4233922975 |
| Practice Fax Number | 4233922983 |
| Mailing Telephone | 4233922975 |
| Mailing Fax Number | 4233901686 |
| Enumeration Date | 2007-12-07 |
| Last Update Date | 2018-11-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 104100000X | Social Worker | 9444 | TN | Behavioral Health & Social Service Providers |
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
6848 | TN | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386291011 | Kathy Wylie Phillips | Massage Therapist | 1375 Drayton Rd, Spartanburg, SC 29307-5106 | 2019-08-19 |
| 1780833392 | Kathy Phillips | Specialist/Technologist, Other | 16131 N Eldridge Pkwy, Tomball, TX 77377-9129 | 2008-09-18 |
| 1881728673 | Kathy Phillips | Chiropractor | 2105 Golf Course Rd Se Ste C, Rio Rancho, NM 87124-1628 | 2007-03-15 |
| 1740678465 | Kathy Phillips | Occupational Therapy Assistant | 157 Ross Carter Blvd, Duffield, VA 24244-5116 | 2015-01-05 |
| 1215989785 | Kathy Phillips | Physical Therapist | 970 Greentree Rd, Pittsburgh, PA 15220-3304 | 2006-05-16 |
| Street Address |
2971 FORT HENRY DR |
| City | KINGSPORT |
| State | TN |
| Zip Code | 37664-4005 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972584092 | Wellmont Health System, Inc | Home Health | 2971 Fort Henry Dr, Kingsport, TN 37664-4005 | 2005-11-07 |
| 1306490024 | Brent Metcalf | Social Worker | 2971 Fort Henry Dr, Kingsport, TN 37664-4005 | 2019-07-31 |
| 1710416888 | Jana Dobesova | Counselor | 2971 Fort Henry Dr, Kingsport, TN 37664-4005 | 2017-06-12 |
| 1326589383 | Krystal Bryant | Social Worker | 2971 Fort Henry Dr, Kingsport, TN 37664-4005 | 2017-03-10 |
| 1598198335 | Lifecare Family Services | Clinic/Center | 2971 Fort Henry Dr, Kingsport, TN 37664-4005 | 2013-08-15 |
| 1477768380 | Foy Lynn Carmichael | Physical Therapist | 2971 Fort Henry Dr, Kingsport, TN 37664-4005 | 2007-05-14 |
| 1922128081 | Michelle Ruthann Jordan | Physical Therapist | 2971 Fort Henry Dr, Kingsport, TN 37664-4005 | 2007-03-30 |
| 1285767640 | Kelly Nichole Mcclain | Physical Therapist | 2971 Fort Henry Dr, Kingsport, TN 37664-4005 | 2007-03-14 |
| 1376676635 | Susan Shanks West | Physical Therapist | 2971 Fort Henry Dr, Kingsport, TN 37664-4005 | 2007-03-14 |
| 1770616039 | Kathrine Brewer Stoots | Physical Therapist | 2971 Fort Henry Dr, Kingsport, TN 37664-4005 | 2007-03-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972067395 | Alice Victoria Lilly | Nurse Practitioner | 2995 Ft. Henry Drive, Suite 100, Kingsport, TN 37664 | 2019-01-30 |
| 1861966525 | Catherine Ann Hensley | Nurse Practitioner | 2995 Fort Henry Drive, Suite 100, Kingsport, TN 37664 | 2019-01-16 |
| 1679076954 | Christopher A Hillman | Dentist | 1599 Fort Henry Dr Ste 102, Kingsport, TN 37664 | 2018-03-13 |
| 1154666733 | Cristin Patterson | Counselor | 2762 East Center St., Kingsport, TN 37664 | 2012-12-07 |
| 1972851095 | Kevin Michael Smith | Pharmacist | 1425 East Center Street, Kingsport, TN 37664 | 2012-08-21 |
| 1619299617 | Kelli Lynn Dillon | Counselor | 1570 Waverly Rorad, Kingsport, TN 37664 | 2010-02-18 |
| 1356503726 | Charles Craig Stieler | Hearing Instrument Specialist | 2101 Ft Henry Dr, Kingsport, TN 37664 | 2008-06-27 |
| 1104012319 | Pro Balance LLC | Prosthetic/Orthotic Supplier | 2408 Fort Henry Drive, Kingsport, TN 37664 | 2007-09-20 |
| 1518188648 | Remington House | Assisted Living Facility | 640 Rock Springs Road, Kingsport, TN 37664 | 2007-05-02 |
| 1689795007 | Elaine Frazier | Emergency Medicine | 410 Golf Ridge Dr, Kingsport, TN 37664 | 2007-04-03 |
| Find all providers in zip 37664 | ||||
| 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 |
|---|---|---|---|---|
| 1275756983 | Cynthia Dawn Ketron | Social Worker | 3218 Dutchess Dr, Kingsport, TN 37663-2904 | 2007-04-11 |
| 1134132277 | Earl Harlan White | Social Worker | 1570 Waverly Road, Holston Counseling Services, Kingsport, TN 37664 | 2006-08-13 |
| 1578585469 | Cheri L Anglin | Social Worker | 2758 East Center Street, Kingsport, TN 37664 | 2006-07-23 |
| 1477103661 | Mary Evans | Social Worker | 1025 Executive Park Blvd, Kingsport, TN 37660-4620 | 2019-09-19 |
| 1093296048 | Matthew Andrews | Social Worker | 1570 Waverly Rd, Kingsport, TN 37664-2523 | 2018-08-28 |
| 1326589383 | Krystal Bryant | Social Worker | 2971 Fort Henry Dr, Kingsport, TN 37664-4005 | 2017-03-10 |
| 1962763896 | Brandy Nicole Carraway | Social Worker | 2991 Fort Henry Dr, Kingsport, TN 37664-4005 | 2012-06-07 |
| 1720347081 | Jesse Danielle Gilreath | Social Worker | 102 E Ravine Rd, Kingsport, TN 37660 | 2012-05-08 |
| 1619110319 | Hope Again Counseling and Court Mediation, LLC | Social Worker | 2005 Venture Park, Kingsport, TN 37660-1098 | 2009-04-09 |
| 1992946289 | Rebekah Anne Brown | Social Worker | 1570 Waverly Rd, Kingsport, TN 37664-2523 | 2009-03-16 |
| Find all providers in KINGSPORT | ||||
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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.