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MR. CHARLES ALVIN PHILLIPS JR.
NPI 1124953476
Social Worker in Chicago, IL

Active since June 17, 2026
259 E 115TH ST, CHICAGO, IL 60628(773) 339-7394(773) 339-7394 Get Directions Write a Review

NPPES record last updated: June 17, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Charles Alvin Phillips Jr. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. CHARLES ALVIN PHILLIPS JR. (NPI 1124953476) is an individual social worker in Chicago, Illinois, licensed in Illinois (150.118110) and active in the NPI registry since June 2026.

NPPES Registry Identity

NPI1124953476
Entity TypeIndividualMale
Primary Taxonomy104100000X
Provider Legal NameMR. CHARLES ALVIN PHILLIPS JR.
Location Address259 E 115TH STChicago, IL 60628-5014
Mailing Address259 E 115th StChicago, IL 60628-5014 · (773) 981-7816
Phone(773) 339-7394
Fax(773) 339-7394
Sole ProprietorYes
Enumeration DateJune 17, 2026
NPPES CertifiedJune 17, 2026
✔ NPI 1124953476 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers
Taxonomy Code104100000X
License✔ Licensed in IL · 150.118110
Definition
A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.
259 E 115TH ST, Chicago, IL 60628
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GRO COMMUNITY
Clinic/Center (Adolescent and Children Mental Health)
259 E 115TH ST
CHICAGO, IL 60628
Cook County (618) 203-4368
KENNETH TRIMUEL
Social Worker
259 E 115TH ST
CHICAGO, IL 60628
Cook County (773) 493-4100
JERRELL EVANS
Counselor
259 E 115TH ST
CHICAGO, IL 60628
Cook County (773) 493-4100
MRS. KRYSTAL M FOWLER LCPC; LPC
Counselor (Mental Health)
259 E 115TH ST
CHICAGO, IL 60628
Cook County (773) 253-8385
CHARDAE GILES
Case Manager/Care Coordinator
259 E 115TH ST
CHICAGO, IL 60628
Cook County (773) 493-4100
TRACY STEPHEN
Social Worker (Clinical)
259 E 115TH ST
CHICAGO, IL 60628
Cook County (773) 253-8385
RAQUEAL PULLUMS
Social Worker
259 E 115TH ST
CHICAGO, IL 60628
Cook County (773) 493-4100
VADETTE ANDERSON
Case Manager/Care Coordinator
259 E 115TH ST
CHICAGO, IL 60628
Cook County (773) 253-8385

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Charles Phillips's NPI number?

The NPI number for Charles Phillips is 1124953476. It was assigned to this individual provider in the NPPES registry on June 17, 2026.

Where is Charles Phillips located?

Charles Phillips practices at 259 E 115th St, Chicago, IL 60628. The listed phone number is (773) 339-7394.

What is Charles Phillips's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

When was this NPI record last updated?

The NPPES record for Charles Phillips was last updated on June 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 48 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.