RUSTY LANE PHILLIPS (NPI# 1639360126) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639360126 |
| Entity Type | Individual |
| Full Name | RUSTY LANE PHILLIPS |
| Credential | LCSW |
| Practice Address |
206 Rue Gambetta Lafayette LA 70507-5335 |
| Practice Telephone | 3375920185 |
| Practice Fax Number | 3378244315 |
| Mailing Telephone | 3375920185 |
| Mailing Fax Number | 3378244315 |
| Enumeration Date | 2007-08-08 |
| Last Update Date | 2020-04-28 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
7285 | LA | Behavioral Health & Social Service Providers |
| Street Address |
206 RUE GAMBETTA |
| City | LAFAYETTE |
| State | LA |
| Zip Code | 70507-5335 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043724107 | Danielle Bias | Counselor | 106 Smalley Rd, Lafayette, LA 70507 | 2017-11-28 |
| 1720505076 | Amy C Rochon | Counselor | 315 Amesbury Drive, Apt 292, Lafayette, LA 70507 | 2017-08-28 |
| 1174045504 | Mia Collins | Case Manager/Care Coordinator | 315 Amesbury Dr Apt 357, Lafayette, LA 70507 | 2017-07-07 |
| 1942739792 | Precious Charles | Counselor | 200 Buttercup Dr Apt 613, Lafayette, LA 70507 | 2017-06-06 |
| 1346633831 | Minute Med Clinic - Pont De Mouton LLC | Clinic/Center | 104 Banister Court, Suite 1c, Lafayette, LA 70507 | 2015-03-09 |
| 1134559578 | Britt Elliott Martin | Pharmacist | 920 West Gloria Switch Road, Lafayette, LA 70507 | 2013-11-21 |
| 1801130877 | Barney Joseph Fusilier Jr. | Pharmacist | 920 W. Gloria Switch Rd., Walgreens, Lafayette, LA 70507 | 2012-11-15 |
| 1508140773 | Joseph Kenneth Vizena | Pharmacist | 3754 Moss Street, Lafayette, LA 70507 | 2011-10-05 |
| 1629177399 | Kevin Lyle Francois | Pharmacist | 3803-f Moss St, Lafayette, LA 70507 | 2006-09-21 |
| 1821024563 | Vermilion Hospital LLC | Psychiatric Hospital | 2520 N. University Ave, Lafayette, LA 70507 | 2006-06-24 |
| Find all providers in zip 70507 | ||||
| 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 |
|---|---|---|---|---|
| 1508479874 | Lisa Cannon Counseling, LLC | Social Worker | 534 S 9th St, Lafayette, IN 47901-1727 | 2020-08-26 |
| 1265045900 | Amber M. Roter | Social Worker | 588 N Us-287 Co, Suite 200, Lafayette, CO 80026 | 2020-08-24 |
| 1871104208 | The Therapy Garden | Social Worker | 119 Ridgeway Dr Ste B1, Lafayette, LA 70503-3446 | 2020-08-10 |
| 1437769064 | Natalie Bunner | Social Worker | 107 Global Cir, Lafayette, LA 70503-5319 | 2020-08-07 |
| 1104464197 | Rebecca Oyer, Msw, Lcsw, Sep, LLC | Social Worker | 143 Ridgeway Dr Ste 101, Lafayette, LA 70503-3410 | 2019-12-20 |
| 1740827104 | Melissa T Vidrine | Social Worker | 345 Doucet Rd Ste 226, Lafayette, LA 70503-3490 | 2019-12-04 |
| 1538719893 | Elements Counseling LLC | Social Worker | 115 N. Farabee Drive, Lafayette, IN 47905 | 2019-09-18 |
| 1871141663 | Jayme Liles | Social Worker | 200 Claymore Dr, Lafayette, LA 70503-3834 | 2019-08-27 |
| 1821650987 | Kathryn Dietzway | Social Worker | 345 Doucet Rd Ste 217, Lafayette, LA 70503-3488 | 2019-06-28 |
| 1861952210 | Laura Willenborg Counseling LLC | Social Worker | 1000 Sagamore Pkwy N Ste 207, Lafayette, IN 47904-2474 | 2019-03-21 |
| Find all providers in LAFAYETTE | ||||
Please comment or provide details below to improve the information on RUSTY LANE PHILLIPS.
| 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.