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NPI Code Detail

MEDICARE: MR. SETH PHILLIPS LCSW

MEDICARE: MR. SETH PHILLIPS LCSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social WorkerLCSW72291CA

General Provider Information

NPI Number : 1770779613
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. SETH PHILLIPS LCSW
Provider Business Mailing Address
First Line : 2323A E PALMDALE BLVD
Second Line :
City : PALMDALE
State : CA
Zip : 93550-4957
Country : US
Telephone Number : 661-223-3800
Fax Number : 661-537-2938
Provider Business Practice Location Address
First Line : 176 HOLSTON DR
Second Line :
City : LANCASTER
State : CA
Zip : 93535-4531
Country : US
Telephone Number : 213-393-1538
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/24/2007
Last Update Date : 05/12/2023

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Directions to “ MR. SETH PHILLIPS LCSW” Practice Location

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