STACEY PHILLIPS (NPI# 1679950877) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679950877 |
| Entity Type | Individual |
| Full Name | STACEY PHILLIPS |
| Credential | LCSW-A |
| Practice Address |
2609 N Duke St Suite 504 Durham NC 27704-3048 |
| Practice Telephone | 9194011151 |
| Mailing Telephone | 9194011151 |
| Enumeration Date | 2015-04-27 |
| Last Update Date | 2015-04-27 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
P008891 | NC | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | N/A | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073051256 | Stacey L Phillips | Early Intervention Provider Agency | 185 Bronx River Rd, 4p, Yonkers, NY 10704-3752 | 2017-02-07 |
| 1730237926 | Stacey Marie Phillips | Speech-Language Pathologist | 1604 W Cullom Ave, Apt #2wc, Chicago, IL 60613-1255 | 2007-01-06 |
| 1801237888 | Stacey Ann Marie Phillips | Licensed Practical Nurse | 40700 California Oaks Rd, Suite 202, Murrieta, CA 92562-5795 | 2013-07-08 |
| 1083912653 | Stacey Jo Phillips | Case Manager/Care Coordinator | 5965 S 900 E, Salt Lake City, UT 84121-1720 | 2011-03-07 |
| 1053558494 | Stacey Michele Phillips | Physical Therapist | 46 W Colt Square Dr, Fayetteville, AR 72703-2813 | 2009-01-07 |
| 1710136718 | Stacey Lynn Phillips | Nurse Practitioner | 25 Woodbridge Rd, Suite A, Somerville, TN 38068-1242 | 2008-09-15 |
| Street Address |
2609 N DUKE ST SUITE 504 |
| City | DURHAM |
| State | NC |
| Zip Code | 27704-3048 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124019849 | Kiron Clinical Sleep Lab, LLC | Specialist | 2609 N Duke St, Suite 604, Durham, NC 27704-3048 | 2005-11-02 |
| 1184232852 | Virgina Ward | Nurse Practitioner | 2609 N Duke St, Durham, NC 27704-3048 | 2020-07-20 |
| 1982094637 | Kelsey Daly | Nurse Practitioner | 2609 N Duke St, Suite 204, Durham, NC 27704-3048 | 2015-02-03 |
| 1174950281 | Eileen Gail Williams | Counselor | 2609 N Duke St, Suite 303b, Durham, NC 27704-3048 | 2013-10-03 |
| 1659627271 | Family Preservation Services | Community/Behavioral Health | 2609 N Duke St, Suite 504, Durham, NC 27704-3048 | 2012-08-01 |
| 1578820635 | Audrina Jones Bunton | Counselor | 2609 N Duke St, Suite 504, Durham, NC 27704-3048 | 2012-04-13 |
| 1063784304 | Champion & Champion Pa Inc | Psychologist | 2609 N Duke St, 602, Durham, NC 27704-3048 | 2012-02-02 |
| 1942578554 | Premiere Health and Wellness Medical Center | Pediatrics | 2609 N Duke St, Suite 403, Durham, NC 27704-3048 | 2011-12-09 |
| 1952635161 | Jennifer Stasko | Physical Therapist | 2609 N Duke St, Suite 203, Durham, NC 27704-3048 | 2009-09-22 |
| 1710121272 | Jenny Myoung Detert | Pediatrics | 2609 N Duke St, Suite 1000, Durham, NC 27704-3048 | 2009-04-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245723139 | Devang Ashokbhai Patel | Dentist | 2609 N Duke St Ste 618, Durham, NC 27704 | 2018-06-14 |
| 1891201042 | Little Family Care Home, LLC | Custodial Care Facility | 1012 Davinci Street, Durham, NC 27704 | 2017-12-26 |
| 1033625702 | Tondra A Little | Social Worker | 2804 Nellowood Street, Durham, NC 27704 | 2017-12-18 |
| 1437502408 | Jhazmere Shamas Preston | Counselor | 2609 N. Duke St. Suite 403, Durham, NC 27704 | 2016-07-14 |
| 1649626656 | Professional Elevations Pllc | Case Manager/Care Coordinator | 304 Crutchfield Drive, Durham, NC 27704 | 2016-05-09 |
| 1083071617 | Alyssa Wilson | Speech-Language Pathologist | 215 William Penn Plz Apt 908, Durham, NC 27704 | 2016-01-27 |
| 1932565124 | Arthur Reynolds Jr and Associates P.l.l.c. | Dentist | 2106 N Duke St, Durham, NC 27704 | 2016-01-05 |
| 1962877720 | Chimere Brooks | Contractor | 4001meriwether Drive Apt P-19, Durham, NC 27704 | 2015-12-04 |
| 1184013294 | Danielle King | Physician Assistant | 3611 N Duke Street, Durham, NC 27704 | 2015-01-13 |
| 1730581901 | Images, 'of Me To You' | Community/Behavioral Health | 2823 Cascadilla Street, Durham, NC 27704 | 2014-09-19 |
| Find all providers in zip 27704 | ||||
| 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 |
|---|---|---|---|---|
| 1770184657 | Delia Hearon | Social Worker | 100 Village Circle Way Apt 216, Durham, NC 27713-6131 | 2020-11-05 |
| 1750980256 | Victoria Snow | Social Worker | 504 E Pettigrew St Apt 449, Durham, NC 27701-3888 | 2020-10-26 |
| 1053910984 | Tedra Cook | Social Worker | 313 Chestnut Oak Pl, Durham, NC 27704-5196 | 2020-10-21 |
| 1821695644 | Adam Tannenbaum | Social Worker | 1821 Hillandale Rd Ste 1b-154, Durham, NC 27705-2659 | 2020-10-05 |
| 1831706373 | Elena Plocek | Social Worker | 2617 Farthing St, Durham, NC 27704-4203 | 2020-09-29 |
| 1225643323 | Aisha S Lewis | Social Worker | 79 Willow Bridge Dr, Durham, NC 27707-5457 | 2020-09-15 |
| 1639781354 | Inner Knowing Clinical Therapy LLC | Social Worker | 117 Brown Rd, Durham, ME 04222-5213 | 2020-08-24 |
| 1730791765 | Katrina P Martin | Social Worker | 2511 N Roxboro St, Durham, NC 27704-4347 | 2020-08-20 |
| 1194337758 | Ashley Esry | Social Worker | 1728 Euclid Rd, Durham, NC 27713-2415 | 2020-08-17 |
| 1265050124 | Amber Cox | Social Worker | 3622 Lyckan Pkwy Ste 5007, Durham, NC 27707-2539 | 2020-07-08 |
| Find all providers in DURHAM | ||||
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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.