Shane Phillips, LCSW is a
Social Worker - Clinical based in Raleigh, North Carolina. Shane Phillips is licensed to practice in North Carolina (license number C013024) and his current practice location is
6112 Saint Giles St, Raleigh, North Carolina. He can be reached at his office (for appointments etc.) via phone at
(919) 893-4465.
NPI number for Shane Phillips is 1588166243 and his current mailing address is 6112 Saint Giles St, Raleigh, North Carolina. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1588166243.
Healthcare Provider's Profile
| Full Name | Shane Phillips |
|---|
| Gender | Male |
|---|
| Speciality | Social Worker - Clinical |
|---|
| Location | 6112 Saint Giles St, Raleigh, North Carolina |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1588166243
- Provider Enumeration Date: 03/08/2018
- Last Update Date: 12/04/2024
Medical Identifiers
Medical identifiers for Shane Phillips such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1588166243 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 23890 (North Carolina) | Secondary |
| 1041C0700X | Social Worker - Clinical | PO11867 (North Carolina) | Secondary |
| 1041C0700X | Social Worker - Clinical | C013024 (North Carolina) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Shane Phillips is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Shane Phillips, LCSW 6112 Saint Giles St, Raleigh, NC 27612-7043 Ph: () - | Shane Phillips, LCSW 6112 Saint Giles St, Raleigh, NC 27612-7043 Ph: (919) 893-4465 |
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