CAROL JEAN PHILLIPS (NPI# 1497243687) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497243687 |
| Entity Type | Individual |
| Full Name | CAROL JEAN PHILLIPS |
| Practice Address |
1320 Mendota St Ste 120 Madison WI 53714-1060 |
| Mailing Address |
25 Kessel Ct Ste 105 Madison WI 53711-6227 |
| Practice Telephone | 6082802700 |
| Mailing Telephone | 6082802700 |
| Enumeration Date | 2018-04-24 |
| Last Update Date | 2018-04-24 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | 3440-120 | WI | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104445576 | Carol Corbett Phillips | Behavior Technician | 7360 Mcginnis Ferry Rd Ste 100, Johns Creek, GA 30024-6603 | 2020-04-15 |
| 1538589916 | Carol Lucrecia Phillips | Social Worker | 10255 Bassett St, Livonia, MI 48150-2412 | 2014-04-23 |
| 1396981015 | Carol Mary Phillips | Specialist | 1330 Paul Ave, Schenectady, NY 12306-2810 | 2008-12-30 |
| 1114127701 | Carol Lynn Phillips | Dentist | 3046 S Higuera St, Suite C, San Luis Obispo, CA 93401-6622 | 2007-07-20 |
| 1992903868 | Carol Jean Phillips | Chiropractor | 977 Mount Holly Dr, Annapolis, MD 21409-5146 | 2007-07-03 |
| 1235792748 | Carol Phillips | Dietitian, Registered | 3900 Woodland Ave, Philadelphia, PA 19104-4551 | 2019-04-19 |
| 1699937821 | Carol Phillips | Registered Nurse | 1201 Broad Rock Blvd, Richmond, VA 23249-0001 | 2008-06-29 |
| 1376661678 | Carol Ann Phillips | Rehabilitation Practitioner | 1224 Vine St, Sa 4 Navigation Team, Los Angeles, CA 90038 | 2007-03-26 |
| 1710031679 | Carol A Phillips | Obstetrics & Gynecology | 6610 Tributary St, Ste 206, Baltimore, MD 21224-6514 | 2007-01-22 |
| 1386668283 | Carol Ann Phillips | Psychiatry & Neurology | 1100 N College Ave, Fayetteville, AR 72703-1944 | 2006-07-26 |
| Street Address |
1320 MENDOTA ST STE 120 |
| City | MADISON |
| State | WI |
| Zip Code | 53714-1060 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487840765 | Christine M Goergen | Counselor | 1320 Mendota St Ste 120, Madison, WI 53714-1060 | 2007-09-19 |
| 1871109702 | Sawyer Smith | Counselor | 1320 Mendota St Ste 120, Madison, WI 53714-1060 | 2020-09-16 |
| 1881202208 | Arizona Suzanne Jaramillo | Registered Nurse | 1320 Mendota St Ste 120, Madison, WI 53714-1060 | 2020-07-22 |
| 1740898162 | Danielle Penaranda | Case Manager/Care Coordinator | 1320 Mendota St Ste 120, Madison, WI 53714-1060 | 2020-07-22 |
| 1346858768 | Lorayne Harrison | Case Manager/Care Coordinator | 1320 Mendota St Ste 120, Madison, WI 53714-1060 | 2020-07-22 |
| 1649893579 | Rebecca R Parker | Case Manager/Care Coordinator | 1320 Mendota St Ste 120, Madison, WI 53714-1060 | 2020-05-27 |
| 1487277315 | Tiffany Dia Yang | Case Manager/Care Coordinator | 1320 Mendota St Ste 120, Madison, WI 53714-1060 | 2020-05-27 |
| 1104445972 | Stephanie Hoppel | Case Manager/Care Coordinator | 1320 Mendota St Ste 120, Madison, WI 53714-1060 | 2020-04-13 |
| 1467087429 | Vanessa Verran | Counselor | 1320 Mendota St Ste 120, Madison, WI 53714-1060 | 2020-03-10 |
| 1821623885 | Katherine Disch | Registered Nurse | 1320 Mendota St Ste 120, Madison, WI 53714-1060 | 2020-03-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265069421 | Access Elevator, Inc. | Contractor | 4229 Argosy Ct., Suite 2b, Madison, WI 53714 | 2020-03-26 |
| 1629426762 | Bethany Domoto | Occupational Therapist | 210 Dempsey Rd, Madison, WI 53714 | 2016-05-31 |
| 1871984989 | Warren Family Dental | Dentist | 4226 Milwaukee Street, Madison, WI 53714 | 2015-02-11 |
| 1316103567 | Heather Marie Kramer | Occupational Therapy Assistant | 5755 Burke Rd, Madison, WI 53714 | 2008-08-06 |
| 1841402906 | Genesis Eldercare Rehab Services | Occupational Therapist | 4502 Milwaukee Street, Madison, WI 53714 | 2007-05-03 |
| 1902928872 | Christine Haag | Dentist | 758 Corporate Dr., Suite 201, Madison, WI 53714 | 2007-04-04 |
| 1366958522 | Dana Johanek | Acupuncturist | 4222 Milwaukee St, 17, Madison, WI 53714 | 2017-12-22 |
| 1003338575 | Lacrima M Goldberg | Dentist | 826 Atlas Ave, Madison, WI 53714 | 2017-07-17 |
| 1497127120 | Kimberly Ann Klein | Occupational Therapist | 4502 Milwaukee Street, Madison, WI 53714 | 2015-10-21 |
| 1437310604 | Pediatric Dental Specialists of Madison LLC | Dentist | 49 N Walbridge Ave, Madison, WI 53714 | 2008-06-20 |
| Find all providers in zip 53714 | ||||
| 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 |
|---|---|---|---|---|
| 1366043069 | Daniel Mccrary | Social Worker | 609 Quiet Creek Cir Nw, Madison, AL 35757-6354 | 2020-11-08 |
| 1104423342 | Papa Fall | Social Worker | 2021 Atwood Ave, Madison, WI 53704-5324 | 2020-10-01 |
| 1720692056 | Gabrielle Kaiser | Social Worker | 520 University Ave, Madison, WI 53703-4915 | 2020-09-03 |
| 1780297572 | Qyonna I. Grady | Social Worker | 106 Cotton Boll Dr Nw, Madison, AL 35757-6948 | 2020-08-31 |
| 1841801172 | Kayla Ruth Jischke | Social Worker | 266 Junction Rd Apt 27, Madison, WI 53717-2645 | 2020-08-11 |
| 1205452083 | Alisa Pratt | Social Worker | 607 W Due West Ave Ste 107, Madison, TN 37115-4420 | 2020-06-17 |
| 1336789288 | David Earl Bess | Social Worker | 8 Lynwood Pl, Madison, NJ 07940-1117 | 2020-01-08 |
| 1396396172 | Janeah Weaver | Social Worker | 255 N Main St Ste D, Madison, GA 30650-1390 | 2019-09-24 |
| 1205498961 | Kelsey Michele Huff | Social Worker | 1434 Florence Ave, Madison, TN 37115-2417 | 2019-07-02 |
| 1790345288 | Peter Edward Doria | Social Worker | 11 Woodland Rd Ste 2, Madison, CT 06443-2380 | 2019-06-17 |
| Find all providers in MADISON | ||||
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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.