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JAMES DAVID PHILLION
NPI 1821643883
Social Worker - Clinical in Stoneham, MA

Active since August 07, 2019PECOS Enrolled
43 COUNTRY CLUB RD, STONEHAM, MA 02180(508) 960-9497 Get Directions Write a Review

NPPES record last updated: September 22, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About James David Phillion NPPES

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

JAMES DAVID PHILLION (NPI 1821643883) is an individual clinical provider in Stoneham, Massachusetts and active in the NPI registry since August 2019. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1821643883
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameJAMES DAVID PHILLION
Location Address43 COUNTRY CLUB RDStoneham, MA 02180-2314
Mailing Address43 Country Club RdStoneham, MA 02180-2314 · (508) 960-9497
Phone(508) 960-9497
Sole ProprietorNo
Enumeration DateAugust 7, 2019
Last NPPES UpdateSeptember 22, 2025
NPPES CertifiedSeptember 22, 2025
✔ NPI 1821643883 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.
43 COUNTRY CLUB RD, Stoneham, MA 02180
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Harvard Pilgrim Health Care.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

James David Phillion 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 02180 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 $63.72 – $189.86
Typical copayment $0.00 (range $15.93 – $47.46)
Most-billed visit code NA
Established Patient
$78.84 typical visit price
range $21.07 – $155.29
Typical copayment $19.71 (range $5.26 – $38.82)
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

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

JAMES PHILLION COUNSELING, LLC
Social Worker (Clinical)
43 COUNTRY CLUB RD
STONEHAM, MA 02180
Middlesex County (508) 960-9497

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 James Phillion's NPI number?

The NPI number for James Phillion is 1821643883. It was assigned to this individual provider in the NPPES registry on August 7, 2019.

Where is James Phillion located?

James Phillion practices at 43 Country Club Rd, Stoneham, MA 02180. The listed phone number is (508) 960-9497.

What is James Phillion's specialty?

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

Is James Phillion enrolled in Medicare?

Yes. James Phillion is registered in the Medicare PECOS enrollment system.

What insurance does James Phillion accept?

Health plans from Anthem Blue Cross and Blue Shield and Harvard Pilgrim Health Care list James Phillion 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 James Phillion was last updated on September 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.