KAITLAN PHILLIPS (LMSW) – Social Worker, NPI 1003380643

KAITLAN PHILLIPS (LMSW) is a healthcare provider. based in Rising sun, Maryland. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LMSW. They hold a License No. 21503 (MD). The NPI Number for KAITLAN PHILLIPS (LMSW) is 1003380643

Main info

Female
11 Years Of Experience
Accepts Medicare Assignment
Name
KAITLAN PHILLIPS (LMSW)
NPI
1003380643
Phone
Not provided
Address
19 RIDGE RD
Enumeration Date
16 January 2019
Last Update Date
16 January 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4108934600
Graduation Year
2015 (11 years ago)
PAC ID
6800209339
Group Practice PAC ID
0345514675
Professional Enrollment ID
I20201230001491
Address ID
MD210144268BE260XXDRXX302
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:7State licenses:1Digital endpointsOther names

2,276 CLINICAL SOCIAL WORKER in MD

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Provider Addresses for KAITLAN PHILLIPS (LMSW)

  • 19, Rising Sun, Northridge Heights, Kalispell, Flathead County, Montana, 59901, United States

    RISING SUN, MD 219111545

    Phone:

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2020-12-30

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20201230001491IClinical Social WorkerMDTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 21911)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0345514675View full group profile
NameSpecialtyState
Clinical PsychologistMD
Mental Health CounselorMD
-MD
Clinical PsychologistVA
Clinical Social WorkerMD
Mental Health CounselorMD
Clinical Social WorkerMD
Clinical Social WorkerVA
Mental Health CounselorMD
-MD

Reviews

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Frequently asked questions

Where can patients find KAITLAN PHILLIPS (LMSW)'s NPI?
You can confirm KAITLAN PHILLIPS (LMSW) with NPI 1003380643; it appears in the national provider directory.
Is KAITLAN PHILLIPS (LMSW)'s NPI currently valid?
The extract we use shows KAITLAN PHILLIPS (LMSW) as active.
What field does KAITLAN PHILLIPS (LMSW) work in?
You can think of KAITLAN PHILLIPS (LMSW) as practicing within Social Worker. Clinical services aligned with this taxonomy classification.
Where does public data place KAITLAN PHILLIPS (LMSW)?
The snapshot lists Rising Sun, Maryland for KAITLAN PHILLIPS (LMSW); download NPPES for the complete set.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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