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MR. PHILLIP A. WILBURN LCSW
NPI 1720005440
Social Worker - Clinical in Crown Point, IN

Active since July 17, 2006PECOS Enrolled
5241 FOUNTAIN DR, SUITE G, CROWN POINT, IN 46307(219) 381-5648(219) 736-2998 Get Directions Write a Review

NPPES record last updated: December 10, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Phillip A. Wilburn Lcsw NPPES

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

MR. PHILLIP A. WILBURN LCSW (NPI 1720005440) is an individual clinical provider in Crown Point, Indiana, licensed in Indiana (34001917A) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1720005440
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMR. PHILLIP A. WILBURNCredential: LCSW
Location Address5241 FOUNTAIN DR, SUITE GCrown Point, IN 46307-5323
Mailing Address3938 W 78th Ct, # 31Merrillville, IN 46410-8705 · (219) 381-5648 · Fax (219) 736-2998
Phone(219) 381-5648
Fax(219) 736-2998
Sole ProprietorYes
Enumeration DateJuly 17, 2006
Last NPPES UpdateDecember 10, 2011
✔ NPI 1720005440 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Licenses✔ Licensed in IN · 34001917A✔ Licensed in IL · 149-001105
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.
5241 FOUNTAIN DR, Crown Point, IN 46307
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Other Identifiers 2

Medicare UPIN000000214770IN
Medicare ID-Type Unspecified627580IN · Mid#

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Phillip A. Wilburn Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 46307 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 $53.07 – $161.76
Typical copayment $0.00 (range $13.26 – $40.44)
Most-billed visit code NA
Established Patient
$66.48 typical visit price
range $16.93 – $132.22
Typical copayment $16.62 (range $4.23 – $33.05)
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 3

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

THERAPUTX, INC
Speech-Language Pathologist
5241 FOUNTAIN DR, SUITE E
CROWN POINT, IN 46307
Lake County (219) 757-5241
ANTOINETTE WELTMEYER OT
Occupational Therapist
5241 FOUNTAIN DR
CROWN POINT, IN 46307
Lake County (219) 757-5241
MARY ANNE LEVANDER P.T.
Physical Therapist
5241 FOUNTAIN DR, SUITE E
CROWN POINT, IN 46307
Lake County (219) 757-5241

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 Phillip Wilburn's NPI number?

The NPI number for Phillip Wilburn is 1720005440. It was assigned to this individual provider in the NPPES registry on July 17, 2006.

Where is Phillip Wilburn located?

Phillip Wilburn practices at 5241 Fountain Dr Suite G, Crown Point, IN 46307. The listed phone number is (219) 381-5648.

What is Phillip Wilburn's specialty?

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

Is Phillip Wilburn enrolled in Medicare?

Yes. Phillip Wilburn is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Phillip Wilburn was last updated on December 10, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years 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.