1. Home
  2. Directory
  3. North Carolina
  4. Durham
  5. Social Worker
  6. NPI Profile

KAREN M PHILLIPS P-LCSW
NPI 1285905554
Social Worker - Clinical in Durham, NC

Active since January 19, 2012PECOS EnrolledAccepts Medicare Assignment
5003 S MIAMI BLVD STE 300, DURHAM, NC 27703(855) 501-1004 Get Directions Write a Review

NPPES record last updated: May 6, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 6, 2026, Oct 31, 2023 (2 updates tracked since 2023).

About Karen M Phillips P-lcsw NPPES

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

KAREN M PHILLIPS P-LCSW (NPI 1285905554) is an individual clinical provider in Durham, North Carolina, licensed in North Carolina (C008377) and active in the NPI registry since January 2012. She is enrolled in Medicare PECOS and is a graduate of Other (2009).

NPPES Registry Identity

NPI1285905554
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameKAREN M PHILLIPSCredential: P-LCSW
Location Address5003 S MIAMI BLVD STE 300Durham, NC 27703-8589
Mailing Address3835 N Freeway Blvd Ste 100Sacramento, CA 95834-1954 · (855) 501-1004
Phone(855) 501-1004
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateJanuary 19, 2012
Last NPPES UpdateMay 6, 20262 updates tracked since enumeration
NPPES CertifiedMay 6, 2026
✔ NPI 1285905554 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 NC · C008377
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.
5003 S MIAMI BLVD STE 300, Durham, NC 27703
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, UnitedHealthcare.Insurance ›

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

Karen M Phillips P-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 ID9537397427
PECOS Enrollment IDI20140123000944
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27703 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 $54.12 – $165.09
Typical copayment $0.00 (range $13.53 – $41.27)
Most-billed visit code NA
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
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.

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 Karen Phillips's NPI number?

The NPI number for Karen Phillips is 1285905554. It was assigned to this individual provider in the NPPES registry on January 19, 2012.

Where is Karen Phillips located?

Karen Phillips practices at 5003 S Miami Blvd Ste 300, Durham, NC 27703. The listed phone number is (855) 501-1004.

What is Karen Phillips's specialty?

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

Is Karen Phillips enrolled in Medicare?

Yes. Karen Phillips is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Karen Phillips accept?

Health plans from Blue Cross and Blue Shield of NC and UnitedHealthcare list Karen Phillips as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Karen Phillips was last updated on May 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.