MRS. KIM PHILLIPS (NPI# 1801342332) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801342332 |
| Entity Type | Individual |
| Full Name | MRS. KIM PHILLIPS |
| Credential | LCSW |
| Practice Address |
2005 Churchill Ln Roswell GA 30075-5613 |
| Practice Telephone | 4044521179 |
| Mailing Telephone | 4044521179 |
| Enumeration Date | 2016-08-25 |
| Last Update Date | 2016-08-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
CSW002675 | GA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255443982 | Kim Barton Phillips | Marriage & Family Therapist | 42525 Rancho Mirage Ln, Rancho Mirage, CA 92270-4312 | 2006-08-31 |
| 1679591606 | Kim Phillips | Counselor | 501 Billingsley Rd, Ste B, Charlotte, NC 28211-1009 | 2006-07-17 |
| Street Address |
2005 CHURCHILL LN |
| City | ROSWELL |
| State | GA |
| Zip Code | 30075-5613 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851889539 | William Shelton Green | Specialist/Technologist | 1055 Riceland Ct, Roswell, GA 30075 | 2018-04-27 |
| 1043712524 | Lena Claire Morison | Music Therapist | 12060 Etris Rd. #200, Roswell, GA 30075 | 2018-03-01 |
| 1790232031 | Christina Danielle Dicioccio | Physician Assistant | 11040 Crabapple Rd # Suiea, Roswell, GA 30075 | 2016-09-02 |
| 1720531767 | Arbor Cove Therapy LLC | Social Worker | 981 Canton St, Suite 200-e, Roswell, GA 30075 | 2016-07-26 |
| 1740640887 | Christina C Plaice | Counselor | 10882 Crabapple Road, Suite 2, Roswell, GA 30075 | 2016-03-02 |
| 1215316435 | Jlm X-ray LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 1015 Canton Street, Roswell, GA 30075 | 2015-05-20 |
| 1174953624 | Ellen Terrell | Occupational Therapist | 10050 Crabapple Road, Suite D-115a, Roswell, GA 30075 | 2013-11-20 |
| 1114269974 | Patricia E Hernandez | Nurse Practitioner | 10479 Alpharetta St Ste 18, Roswell, GA 30075 | 2013-03-20 |
| 1750623658 | The George Center Foundation | Music Therapist | 1206 Etris Rd., Suite 200, Roswell, GA 30075 | 2013-03-19 |
| 1407187735 | Rachael Anne Templeton | Chiropractor | 593 Atlanta Street, Gorman Chiropractic, Roswell, GA 30075 | 2010-01-27 |
| Find all providers in zip 30075 | ||||
| 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 |
|---|---|---|---|---|
| 1306456140 | Jarbriel Bryant | Social Worker | 5113 Calibre Creek Pkwy, Roswell, GA 30076-4563 | 2020-08-06 |
| 1558872200 | Beda Roberts | Social Worker | 800 Old Roswell Lakes Pkwy Ste 200, Roswell, GA 30076-1667 | 2017-10-21 |
| 1275058711 | Jessica Perez | Social Worker | 10929 Crabapple Rd Ste 203c, Roswell, GA 30075-7657 | 2017-08-05 |
| 1508389669 | Diane Sitkowski | Social Worker | 814 Mimosa Blvd Bldg C, Roswell, GA 30075-4410 | 2017-07-20 |
| 1720531767 | Arbor Cove Therapy LLC | Social Worker | 981 Canton St, Suite 200-e, Roswell, GA 30075 | 2016-07-26 |
| 1629439393 | Maribeth Nolan | Social Worker | 355 Meadowood Dr, Roswell, GA 30075-4504 | 2016-03-09 |
| 1205297090 | Cathleen Hulbert | Social Worker | 4085 Crabapple Lake Ct, Roswell, GA 30076-4253 | 2016-03-08 |
| 1760803316 | Jessica Zielske | Social Worker | 300 Colonial Center Parkway, Ste 100n, Roswell, GA 30076 | 2013-12-30 |
| 1831528967 | Marissa Ezell | Social Worker | 11285 Elkins Rd Unit K1, Roswell, GA 30076-1259 | 2013-11-08 |
| 1871830372 | Elaine Bryant Barron | Social Worker | 580 W Crossville Rd Ste 201, Roswell, GA 30075-7511 | 2013-01-03 |
| Find all providers in ROSWELL | ||||
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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.