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PHOENIX COLLECTIVE INC
NPI 1477429439
Social Worker - Clinical in San Diego, CA

Active since October 15, 2025
7456 MISSION GORGE ROAD, UNIT 165, SAN DIEGO, CA 92120(619) 535-0773(619) 535-7055 Get Directions Write a Review

NPPES record last updated: October 15, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Phoenix Collective Inc NPPES

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

PHOENIX COLLECTIVE INC (NPI 1477429439) is a healthcare organization registered as a clinical in San Diego, California and active in the NPI registry since October 2025. The organization lists Robin Mathy, President And Ceo, as its authorized official.

NPPES Registry Identity

NPI1477429439
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NamePHOENIX COLLECTIVE INC
Location Address7456 MISSION GORGE ROAD, UNIT 165San Diego, CA 92120-1301
Mailing Address344 N Central Ave Apt 9Medford, OR 97501-5952 · (619) 535-0773 · Fax (619) 535-7055
Phone(619) 535-0773
Fax(619) 535-7055
Organization SubpartNo
Authorized OfficialRobin MathyPresident And Ceo · (651) 535-0773
Enumeration DateOctober 15, 2025
NPPES CertifiedSeptember 30, 2025
✔ NPI 1477429439 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
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.
Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X
7456 MISSION GORGE ROAD, San Diego, CA 92120
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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 Phoenix Collective Inc's NPI number?

The NPI number for Phoenix Collective Inc is 1477429439. It was assigned to this organization in the NPPES registry on October 15, 2025.

Where is Phoenix Collective Inc located?

Phoenix Collective Inc is located at 7456 Mission Gorge Road Unit 165, San Diego, CA 92120. The listed phone number is (619) 535-0773.

What is Phoenix Collective Inc's specialty?

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

When was this NPI record last updated?

The NPPES record for Phoenix Collective Inc was last updated on October 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.