Kristie Phillips, is a
Social Worker - Clinical based in Pueblo, Colorado. Kristie Phillips is licensed to practice in Colorado (license number CSW1347) and her current practice location is
28 Radcliff Ln, Pueblo, Colorado. She can be reached at her office (for appointments etc.) via phone at
(719) 214-0293.
NPI number for Kristie Phillips is 1629100318 and her current mailing address is 28 Radcliff Ln, Pueblo, Colorado. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1629100318.
Healthcare Provider's Profile
Full Name | Kristie Phillips |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 28 Radcliff Ln, Pueblo, Colorado |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1629100318
- Provider Enumeration Date: 03/09/2007
- Last Update Date: 04/29/2019
Medical Identifiers
Medical identifiers for Kristie Phillips such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1629100318 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
1041C0700X | Social Worker - Clinical | CSW1347 (Colorado) | 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. Kristie 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 |
Kristie Phillips, 28 Radcliff Ln, Pueblo, CO 81005-1912 Ph: (719) 214-0293 | Kristie Phillips, 28 Radcliff Ln, Pueblo, CO 81005-1912 Ph: (719) 214-0293 |
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