PHILLIP SMITH (NPI# 1790091973) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790091973 |
| Entity Type | Individual |
| Full Name | PHILLIP SMITH |
| Practice Address |
313 Ossipee Trl Gorham ME 04038-2131 |
| Practice Telephone | 2079290135 |
| Mailing Telephone | 2079290135 |
| Enumeration Date | 2010-08-25 |
| Last Update Date | 2010-08-25 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
LC3739 | ME | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ME | PROVIDER ENROLLMENT | 435655099 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194326157 | Phillip Alexander Smith | Pharmacist | 5261 Smokey Ridge Dr, Fort Worth, TX 76123-2896 | 2020-11-05 |
| 1568062537 | Phillip Smith | Case Management | 230 W 400 S, Salt Lake City, UT 84101-1829 | 2020-10-29 |
| 1669887063 | Phillip Nelson Smith | Psychologist | University of South Alabama, 75 S. University Blvd., Ucom1000, Mobile, AL 36688-0001 | 2014-06-24 |
| 1952655144 | Phillip Colby Smith | Marriage & Family Therapist | 6921 Springcreek Cv Apt 22, Raleigh, NC 27613 | 2012-11-09 |
| 1245592427 | Phillip Lee Smith | Family Medicine | East High 262, Motnezuma Creek, UT 84534-0130 | 2012-06-13 |
| 1619243540 | Phillip Smith | Durable Medical Equipment & Medical Supplies | 9093 Highway 15, Ackerman, MS 39735 | 2012-03-26 |
| 1699073510 | Phillip Smith | Counselor | 2900 Tracy Ave, Kansas City, MO 64109-1529 | 2011-03-01 |
| 1144245358 | Phillip Smith | Registered Nurse | 10333 E Camino Real, Atascadero, CA 93422-5808 | 2006-07-12 |
| 1962434878 | Phillip Karl Smith | Family Medicine | 910 Madison, #922, Memphis, TN 38163-0001 | 2006-07-07 |
| 1003878745 | Phillip L Smith | Chiropractor | 12320 Highway 44 Ste A, Gonzales, LA 70737-2202 | 2006-04-06 |
| Street Address |
313 OSSIPEE TRL |
| City | GORHAM |
| State | ME |
| Zip Code | 04038-2131 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134749039 | Lindsey Anne Thomsen | Physician Assistant | 15 Caitlin Drive, Gorham, ME 04038 | 2020-04-21 |
| 1124537600 | Helping Hearts Home Care | Home Health | 46 Farrington Rd, Gorham, ME 04038 | 2017-09-27 |
| 1689109019 | Deborah Ann Cooper | In Home Supportive Care | 46 Farrington Road, Gorham, ME 04038 | 2017-04-24 |
| 1184056400 | Katherine Pritchard | Speech-Language Pathologist | 1002 Wagner Farm Road, Gorham, ME 04038 | 2013-08-09 |
| 1043565013 | Jennifer Brooke Turcotte | Social Worker | 697b Gray Rd, Gorham, ME 04038 | 2012-07-17 |
| 1326356296 | Gail Trefethern-kelley | Occupational Therapist | 75 School Street, Suite 2, Gorham, ME 04038 | 2010-09-14 |
| 1396963245 | Jaime Marie Tardif | Social Worker | 72 Justice Way, Gorham, ME 04038 | 2007-04-23 |
| 1033234224 | Marie A Pedersen | Social Worker | 39 Finn Parker Road, Gorham, ME 04038 | 2007-03-20 |
| 1205971330 | Victor Liberi | Specialist/Technologist | 33 College Ave., University of So. Maine, Gorham, ME 04038 | 2007-02-20 |
| 1467595322 | Susanne Martornao | Occupational Therapist | 14 Murray Drive, Gorham, ME 04038 | 2007-02-14 |
| Find all providers in zip 04038 | ||||
| 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 |
|---|---|---|---|---|
| 1356700421 | Abby M Beaumont | Social Worker | 5 Gerrys Way, Gorham, ME 04038-2577 | 2016-02-18 |
| 1376773044 | John W Reidy | Social Worker | 102 Gordon Farms Rd, Gorham, ME 04038-2389 | 2009-07-16 |
| 1649436908 | Polo Jean-louis | Social Worker | 612 Gray Rd, Gorham, ME 04038-5808 | 2008-08-05 |
| 1396963245 | Jaime Marie Tardif | Social Worker | 72 Justice Way, Gorham, ME 04038 | 2007-04-23 |
| 1033234224 | Marie A Pedersen | Social Worker | 39 Finn Parker Road, Gorham, ME 04038 | 2007-03-20 |
| 1740216100 | Carol B Crosby | Social Worker | 6 Gaia Ln, Gorham, ME 04038-1649 | 2006-06-25 |
| 1427697051 | Soul Wisdom Counseling | Social Worker | 12 Elm St, Gorham, ME 04038-1506 | 2019-12-30 |
| 1154705309 | Melanie Grace Mauro | Social Worker | 510 Main St, Gorham, ME 04038-1339 | 2015-07-17 |
| 1831488873 | Jane Irish Meggison | Social Worker | 31 Main St, Gorham, ME 04038-1301 | 2011-03-30 |
| 1649579871 | Thomas Courtney | Social Worker | 20 College Ave, Gorham, ME 04038-1004 | 2011-03-28 |
| Find all providers in GORHAM | ||||
Please comment or provide details below to improve the information on PHILLIP SMITH.
| 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.