Active NPIIndividual provider

Betty A Phillips, LCSW

Social Worker, Clinical in Forked River, New Jersey

NPI Number1104053719
Practice location
424 S Main St, Suite F, Forked River, NJ 08731-4654
Fax
609-693-4345
Last updated
February 28, 2012

Betty A Phillips is a Social Worker, Clinical based in Forked River, NJ. Betty A Phillips practices in Forked River, NJ and has the professional credentials of LCSW. The NPI Number for Betty A Phillips is 1104053719 and holds a License No. 44SC04994100 (NJ). The current practice location address for Betty A Phillips is 424 S Main St, Suite F, Forked River, NJ 08731-4654 and can be reached out via phone at 609-693-4343 and via fax at 609-693-4345.

Provider Profile Details

NPI Number
1104053719
Provider Name
Betty A Phillips
Credential
LCSW
Provider Entity Type
Individual
Gender
Female
Address
424 S Main St, Suite F, Forked River, NJ 08731-4654
Phone Number
609-693-4343
Fax Number
609-693-4345
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
No
Provider Enumeration Date
June 22, 2009
Last Update Date
February 28, 2012
NPI Status
Active

Provider Business Practice Location Address Details

Address
424 S Main St
Suite F
Forked River, NJ 08731-4654
Zip
08731-4654
Phone Number
609-693-4343
Fax Number
609-693-4345
Forked River, NJ 08731Get directions →

Provider Business Mailing Address Details

Address
424 S Main St
Suite F
Forked River, NJ 08731-4654
City
Forked River
State
NJ
Zip
08731-4654
Phone Number
609-693-4343
Fax Number
609-693-4345

License Information

License Number
44SC04994100
License State
NJ
Taxonomy
Social Worker, Clinical · 1041C0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Betty A Phillips, LCSW?

The NPI number of Betty A Phillips, LCSW is 1104053719. It was assigned on June 22, 2009 and is currently active in the NPPES registry.

What is the specialty of Betty A Phillips, LCSW?

Betty A Phillips, LCSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in NJ under license number 44SC04994100.

Where does Betty A Phillips, LCSW practice?

The practice location is 424 S Main St, Suite F, Forked River, NJ 08731-4654. The office can be reached at 609-693-4343 (phone) or 609-693-4345 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1104053719 directly on the NPPES registry website.

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