Individual
AMY JENNIFER PHILLIPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
10775 PIONEER TRL STE 215, TRUCKEE, CA 96161-0234
(415) 424-4266
(415) 520-6633
Mailing address
9100 S DADELAND BLVD STE 1500, MIAMI, FL 33156-7816
(415) 424-4266
(415) 520-6633
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
149023819
IL
1041C0700X
Clinical Social Worker
Primary
SW20260
FL
1041S0200X
School Social Worker
1463192
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1409
SCHOOL-BASED MEDICAID BILLING
FL
Enumeration date
02/01/2023
Last updated
02/14/2023
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