DR. TRACEY PHILLIPS (NPI# 1073863742) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1073863742 |
Entity Type | Individual |
Full Name | DR. TRACEY PHILLIPS |
Credential | PHD, LMSW |
Practice Address |
4390 Belle Oaks Dr North Charleston SC 29405-8559 |
Practice Telephone | 8435547244 |
Mailing Telephone | 8435547244 |
Enumeration Date | 2012-09-11 |
Last Update Date | 2015-01-22 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 104100000X | Social Worker | 8209 | SC | Behavioral Health & Social Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1508155441 | Tracey C Phillips | Social Worker | 35 Holly Ave, Shalimar, FL 32579-1105 | 2011-03-31 |
1811148968 | Tracey A Phillips | Physical Therapist | 162 Carpin Ln, Weedville, PA 15868-2916 | 2008-10-07 |
1740465434 | Tracey Lynn Phillips | Psychologist | 10422 Spencer Ct, Mitchellville, MD 20721-1834 | 2008-01-01 |
1083762710 | Tracey Boykin Phillips | Nurse Practitioner | 1520 Sunday Dr, Raleigh, NC 27607-5253 | 2007-01-08 |
Street Address |
4390 BELLE OAKS DR |
City | NORTH CHARLESTON |
State | SC |
Zip Code | 29405-8559 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831377613 | Sonya Hagler | Physical Therapy Assistant | 4390 Belle Oaks Dr, Suite 120, North Charleston, SC 29405-8559 | 2008-02-05 |
1801259411 | Mary Barron | Respiratory Therapist, Registered | 4390 Belle Oaks Dr, North Charleston, SC 29405-8559 | 2016-03-31 |
1497188999 | Michelle P Cooke | Psychologist | 4390 Belle Oaks Dr, North Charleston, SC 29405 | 2013-08-20 |
1316290539 | Christine Ellison | Occupational Therapy Assistant | 4390 Belle Oaks Dr, North Charleston, SC 29405-8559 | 2012-10-25 |
1083967293 | Susan Burts | Occupational Therapy Assistant | 4390 Belle Oaks Dr, Suite 120, North Charleston, SC 29405-8559 | 2012-10-25 |
1801149034 | Robin Poe | Physical Therapy Assistant | 4390 Belle Oaks Dr, North Charleston, SC 29405-8559 | 2012-10-25 |
1902159114 | Elindra Coleman-johnson | Physical Therapist | 4390 Belle Oaks Dr, Suite 120, North Charleston, SC 29405-8559 | 2012-10-25 |
1346593589 | Kim Mcdaniel | Speech-Language Pathologist | 4390 Belle Oaks Dr, Suite 120, North Charleston, SC 29405-8559 | 2012-10-25 |
1790038917 | Chloe Davis-thomas | Occupational Therapy Assistant | 4390 Belle Oaks Dr, Suite 120, North Charleston, SC 29405-8559 | 2012-10-25 |
1447503677 | Maureen Larson | Occupational Therapist | 4390 Belle Oaks Dr, Suite 120, North Charleston, SC 29405-8559 | 2012-10-25 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134720535 | Detyens Medical Center | Pharmacy | 1670 Drydock Avenue, Building 10, Suite A, North Charleston, SC 29405 | 2020-11-03 |
1013422674 | Caroline Rae | Speech-Language Pathologist | 3100 Carner Avenue, Charleston, SC 29405 | 2017-12-05 |
1245685171 | Ethel Jane Amerson | Registered Nurse | 3180 Thomasena Mcpherson Blvd, Nursing Module, Charleston County School Districe, North Charleston, SC 29405 | 2016-04-28 |
1750755468 | Diane Levesque | Registered Nurse | 4050 Bridgeview Drive, Suite 600, North Charleston, SC 29405 | 2015-11-18 |
1063813111 | Trident Medical Center, LLC | Clinic/Center | 5249 Emmett I. Davis Jr. Avenue, North Charleston, SC 29405 | 2014-09-09 |
1114344504 | Bonita Davies | Registered Nurse | 3180 Thomasina Mcpherson Boulevard, North Charleston, SC 29405 | 2014-03-24 |
1427493261 | Melissa Hancock D'arcy | Registered Nurse | 3750 Dorchester Road, N. Charleston, SC 29405 | 2013-05-07 |
1427308824 | Terri Timmerman | Pharmacist | 1506 Montague Ave, North Charleston, SC 29405 | 2012-09-12 |
1649414285 | Roper Saint Francis Physicians Network | Clinical Medical Laboratory | 4450 Leeds Place West, Suite A, North Charleston, SC 29405 | 2009-04-27 |
1891940649 | Earnestine Roberts | Registered Nurse | 3605 Meeting Street Rd., Ste.b1, North Charleston, SC 29405 | 2008-11-20 |
Find all providers in zip 29405 |
Taxonomy Code | 104100000X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Social Worker |
A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. |
Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497299853 | Evelyn Dingle I | Social Worker | 2424 City Hall Ln, North Charleston, SC 29406-6538 | 2016-12-05 |
1669863338 | Sharon Frazier | Social Worker | 1901 Orvid St, Apt. 1, North Charleston, SC 29405-8270 | 2015-02-16 |
1659778512 | Shalena B Williams | Social Worker | 7410 Northside Dr Ste 201, North Charleston, SC 29420-4277 | 2014-11-20 |
1093110249 | Hope Young | Social Worker | 8755 Fairwind Dr, Apt G6, North Charleston, SC 29406-9624 | 2014-10-30 |
1568866481 | Rickey Ciapha Dennis Sr. | Social Worker | 108 Knightsbridge Drive, North Charleston, SC 29418 | 2014-10-21 |
1043284623 | Judith Lynn Hoffman | Social Worker | 9263-a Medical Plaza Drive, North Charleston, SC 29406 | 2006-02-13 |
1700372257 | Carolynn Maureen Skiro | Social Worker | 7410 Northside Dr Ste 201, North Charleston, SC 29420-4277 | 2018-07-09 |
1376049890 | Victor Dimetri Smith | Social Worker | 2424 City Hall Ln, North Charleston, SC 29406-6538 | 2018-04-03 |
1851896252 | Antoinette Renee Pinckney-cobbs | Social Worker | 6650 Rivers Ave, North Charleston, SC 29406-4809 | 2018-03-27 |
1922512045 | Donna Dukes Cummings | Social Worker | 4401 Belle Oaks Dr Ste 280, North Charleston, SC 29405-8504 | 2017-11-28 |
Find all providers in NORTH CHARLESTON |
City | NORTH CHARLESTON |
Zip Code | 29405 |
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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.