NICOLETTE PHILLIPS LCSW
NPI 1215672290
Social Worker - Clinical in Grangeville, ID

Q: What is Nicolette Phillips's NPI number?

The NPI number for Nicolette Phillips is 1215672290. It was assigned to this individual provider in the NPPES registry on May 3, 2022. The provider is also known as Nicolette Harral Licsw.

Q: What is Nicolette Phillips's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Active since May 03, 2022PECOS EnrolledAccepts Medicare Assignment

304 N STATE ST, GRANGEVILLE, ID 83530(208) 983-0235 Get Directions Write a Review

NPPES record last updated: May 3, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Nicolette Phillips Lcsw NPPES

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

NICOLETTE PHILLIPS LCSW (NPI 1215672290) is an individual clinical provider in Grangeville, Idaho, licensed in Idaho (LCSW-41516) and active in the NPI registry since May 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2011).

NPPES Registry Identity

NPI1215672290

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameNICOLETTE PHILLIPSCredential: LCSW

Location Address304 N STATE STGrangeville, ID 83530-1769

Mailing AddressPo Box 627Grangeville, ID 83530-0627 · (208) 983-0235

Phone(208) 983-0235

Sole ProprietorNo

Medical School CMSOtherGraduated 2011

Enumeration DateMay 3, 2022

NPPES CertifiedMay 3, 2022

✔ NPI 1215672290 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

License✔ Licensed in ID · LCSW-41516

Definition

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.

304 N STATE ST, Grangeville, ID 83530

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Other Names 1

Former Name (1)Nicolette Harral Licsw

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Nicolette Phillips Lcsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9931584422

PECOS Enrollment IDI20220920001442

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 1 hour 90837

Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 1-hour session, you'll talk about your feelings, thoughts, and behaviors to help identify and manage mental health issues. This process aids in personal growth, healing, and improved well-being.

152 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83530 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$0.00 typical visit price

range $52.44 – $160.17

Typical copayment $0.00 (range $13.11 – $40.04)

Most-billed visit code NA

Established Patient

$65.77 typical visit price

range $16.68 – $130.93

Typical copayment $16.44 (range $4.17 – $32.73)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 6

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

CAMAS PROFESSIONAL COUNSELING

Community/Behavioral Health