MICHAEL ALAN PHILLIPS I (NPI# 1770001380) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770001380 |
| Entity Type | Individual |
| Full Name | MICHAEL ALAN PHILLIPS I |
| Credential | LCSW |
| Practice Address |
2017 Jefferson Street Roanoke VA 24014 |
| Mailing Address |
Carilion Behavioral Health 2017 South Jefferson Street Roanoke VA 24014 |
| Practice Telephone | 5409877099 |
| Practice Fax Number | 5408530518 |
| Mailing Telephone | 5409817099 |
| Mailing Fax Number | 5408530518 |
| Enumeration Date | 2017-09-03 |
| Last Update Date | 2017-09-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
0904009988 | VA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902299530 | Michael Thomas Phillips | Pharmacist | 2005 Maple Street, Rome, GA 30161 | 2015-03-06 |
| 1013312578 | Michael Phillips Jr. | Counselor | 11 Ward St Ste 200, Somerville, MA 02143-4214 | 2014-10-27 |
| 1790035707 | Michael Kenneth Phillips | Military Health Care Provider | 623 Pusan Dr, Oceanside, CA 92058-8149 | 2012-09-17 |
| 1992099600 | Michael Zachary Phillips | Emergency Medicine | 175 Cheney Ave, Harpers Ferry, WV 25425-6343 | 2011-05-31 |
| 1689970535 | Michael G. Phillips | Military Health Care Provider | 2621 Las Brisas St, Corpus Christi, TX 78414-5014 | 2011-02-09 |
| 1750437265 | Michael Phillips | Counselor | 506 Ne Thompson St, Portland, OR 97212-3843 | 2007-01-26 |
| 1730234709 | Michael Phillips | Specialist | 9253 Hermosa Ave, Ste C, Rancho Cucamonga, CA 91730-5854 | 2007-01-23 |
| 1699845974 | Michael Stuart Phillips | Internal Medicine | 545 1st Ave, Nyu Medical Center, Greenberg Hall, Room Sc-132, New York, NY 10016-6401 | 2006-11-08 |
| 1225124837 | Michael Phillips | Chiropractor | 34734 Vine St, Willowick, OH 44095-5120 | 2006-10-04 |
| 1063520294 | Michael Newton Phillips | Physical Therapist | 3451 Goodman Rd E Ste 108, Southaven, MS 38672 | 2006-08-28 |
| Street Address |
2017 JEFFERSON STREET |
| City | ROANOKE |
| State | VA |
| Zip Code | 24014 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417558602 | Irene Pace Seidman | Pharmacist | 3350 Clearbrook Village Ln, Roanoke, VA 24014 | 2020-11-04 |
| 1720617970 | Mounica Reddy Thootkur | Student in an Organized Health Care Education/Training Program | 2017 South Jefferson Street, 2nd Floor, Roanoke, VA 24014 | 2020-04-08 |
| 1326675422 | Bharath Muppala | Student in an Organized Health Care Education/Training Program | Carilion Roanoke Memorial Hospital, 1906 Belleview Ave, Roanoke, VA 24014 | 2020-03-26 |
| 1235629239 | Sanjeeb Sudarshan Bhandari | Student in an Organized Health Care Education/Training Program | 1906 Bellview Ave Se, Roanoke, VA 24014 | 2018-05-15 |
| 1104325778 | Vera J. Short | Registered Nurse | 3167 Huffman Ln, Roanoke, VA 24014 | 2018-02-08 |
| 1306362884 | Sara Alicia Guasch | Student in an Organized Health Care Education/Training Program | Carilion Roanoke Memorial Hospital, 1906 Belleview Ave, Roanoke, VA 24014 | 2017-08-16 |
| 1790212256 | Pouya Mafi | Student in an Organized Health Care Education/Training Program | 1906 Belleview Ave, Carilion Roanoke Memorial Hospital, Roanoke, VA 24014 | 2017-05-16 |
| 1790222867 | Mara Cate | Physician Assistant | 523 Arbuttus Ave, Roanoke, VA 24014 | 2017-01-26 |
| 1508314634 | Dknl Enterprises, Inc. | Non-emergency Medical Transport (VAN) | 3629 Franklin Rd Sw Suite 205b, Roanoke, VA 24014 | 2016-09-19 |
| 1407302847 | Elia Boles | Pediatrics | Carilion Clinic Roanoke Memorial Hospital, 1906 Belleview Ave, Roanoke, VA 24014 | 2016-08-26 |
| Find all providers in zip 24014 | ||||
| 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 |
|---|---|---|---|---|
| 1952911950 | Cynthia Richards | Social Worker | 2602 Cannaday Rd Ne, Roanoke, VA 24012-6208 | 2020-08-04 |
| 1083274336 | Deanna Bibby | Social Worker | 2502 Broadway Ave Sw Uppr Level, Roanoke, VA 24014-1663 | 2019-06-18 |
| 1356810659 | Susanne Tribble | Social Worker | 202 Wells Ave Nw, Roanoke, VA 24016 | 2018-11-15 |
| 1730672239 | Stephanie Ann Goodbar | Social Worker | 3536 Brambleton Ave Ste 3, Roanoke, VA 24018-6500 | 2018-06-08 |
| 1992234017 | Christie Reid Mcintosh-svirsky | Social Worker | 6107 Renoir Ln, Roanoke, VA 24018-5298 | 2017-06-12 |
| 1255860458 | Angela N Mitchell | Social Worker | 5215 Starkey Rd, Roanoke, VA 24018-9359 | 2017-06-09 |
| 1730623810 | Sheri O Story | Social Worker | 2151 Berkley Ave Sw, Apt 2, Roanoke, VA 24015-2007 | 2016-12-08 |
| 1447702063 | Rebecca Kaye Sullivan | Social Worker | 1315 2nd St Sw Ste 203, Roanoke, VA 24016-4935 | 2016-10-31 |
| 1457710238 | Frances Marie Gaeta | Social Worker | 360 Campbell Ave, Roanoke, VA 24016 | 2016-02-22 |
| 1891169819 | Individualized Counseling of Roanoke LLC | Social Worker | 3524 Brambleton Ave Ste 5, Roanoke, VA 24018-6528 | 2015-11-16 |
| Find all providers in ROANOKE | ||||
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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.