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THERESA PHILLIPS LLMSW LLMFT NPI 1588967970


NPI Information

NPI: 1588967970
Provider Name: THERESA PHILLIPS, LLMSW, LLMFT
Classification: Social Worker - 1041C0700X
Entity Type: Individual

Specialization: Clinical

Address:
3300 36TH ST SE
GRAND RAPIDS, MI
ZIP 49512
Phone: (616) 942-2110
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Theresa Phillips, LLMSW, LLMFT is a clinical social worker in Grand Rapids, MI. The provider is 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. Theresa Phillips, LLMSW, LLMFT NPI is 1588967970. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3300 36TH ST SE
GRAND RAPIDS, MI
ZIP 49512-810
Phone: (616) 942-2110

The enumeration date for this NPI number is 12/7/2010 and was last updated on 12/7/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1106H00000XMarriage & Family Therapist4101006469MICHIGANNo
21041C0700XSocial WorkerClinical6801092139MICHIGANYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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