1. Home
  2. Directory
  3. District Of Columbia
  4. Washington
  5. Social Worker
  6. NPI Profile

MR. PHILIP MICHAEL CONKLIN MSW, LICSW
NPI 1356655575
Social Worker - Clinical in Washington, DC

Active since July 29, 2010Opted out of Medicare · through Jan 21, 2028
5100 WISCONSIN AVE NW, # 300, WASHINGTON, DC 20016(202) 244-8855(202) 244-8856 Get Directions Write a Review

NPPES record last updated: July 29, 2010. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mr. Philip Michael Conklin Msw, Licsw NPPES

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

MR. PHILIP MICHAEL CONKLIN MSW, LICSW (NPI 1356655575) is an individual clinical provider in Washington, District Of Columbia, licensed in District Of Columbia (LC50078955) and active in the NPI registry since July 2010. He has opted out of Medicare through January 21, 2028.

NPPES Registry Identity

NPI1356655575
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMR. PHILIP MICHAEL CONKLINCredential: MSW, LICSW
Location Address5100 WISCONSIN AVE NW, # 300Washington, DC 20016-4119
Mailing Address5100 Wisconsin Ave Nw, # 300Washington, DC 20016-4119 · (202) 244-8855 · Fax (202) 244-8856
Phone(202) 244-8855
Fax(202) 244-8856
Sole ProprietorYes
Enumeration DateJuly 29, 2010
✔ NPI 1356655575 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 DC · LC50078955
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.
5100 WISCONSIN AVE NW, Washington, DC 20016
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Mr. Philip Michael Conklin Msw, Licsw has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 21, 2022 through January 21, 2028.

Opt-Out Effective DateJanuary 21, 2022
Opt-Out In Effect ThroughJanuary 21, 2028Opt-out affidavits renew automatically every two years unless cancelled

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.

MRS. KAREN L SMITH RD
Dietitian, Registered
5100 WISCONSIN AVE NW, SUITE 401
WASHINGTON, DC 20016
District of Columbia (202) 527-7500
DR. EMILY M BAUMAN PH.D.
Psychologist
5100 WISCONSIN AVE NW, SUITE 300
WASHINGTON, DC 20016
District of Columbia (240) 461-8149
SHERI NAWABI, D.D.S., PLLC
Dentist (General Practice)
5100 WISCONSIN AVE NW, SUITE 240
WASHINGTON, DC 20016
District of Columbia (202) 686-2318
EMILY M. BAUMAN, PH.D. PLLC
Psychologist
5100 WISCONSIN AVE NW, SUITE 300
WASHINGTON, DC 20016
District of Columbia (202) 686-1155
MR. JAY M. MUTCHNIK P.T.
Physical Therapist
5100 WISCONSIN AVE NW, SUITE 522
WASHINGTON, DC 20016
District of Columbia (202) 966-0900
DR. RALPH THOMAS MAZZUCA DDS
Dentist
5100 WISCONSIN AVE NW, SUITE 406
WASHINGTON, DC 20016
District of Columbia (202) 537-1088
EROSALIND H KAYE MSW
Social Worker (Clinical)
5100 WISCONSIN AVE NW, SUITE 300
WASHINGTON, DC 20016
District of Columbia (202) 244-1270
MR. DANIEL M KAVANAUGH MSW, LCSW-C
Social Worker (Clinical)
5100 WISCONSIN AVE NW, SUITE 300
WASHINGTON, DC 20016
District of Columbia (202) 244-8855

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 Philip Conklin's NPI number?

The NPI number for Philip Conklin is 1356655575. It was assigned to this individual provider in the NPPES registry on July 29, 2010.

Where is Philip Conklin located?

Philip Conklin practices at 5100 Wisconsin Ave NW # 300, Washington, DC 20016. The listed phone number is (202) 244-8855.

What is Philip Conklin's specialty?

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

Is Philip Conklin enrolled in Medicare?

No. Philip Conklin has opted out of Medicare through January 21, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Philip Conklin was last updated on July 29, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.