MARTHA E PHILLIPS (LISW-S, LICDC) – Clinical Social Worker, NPI 1285965764

MARTHA E PHILLIPS (LISW-S, LICDC) is a healthcare provider. based in Defiance, Ohio. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LISW-S, LICDC. They hold a License No. 852059 (OH). The NPI Number for MARTHA E PHILLIPS (LISW-S, LICDC) is 1285965764

Main info

Female
Sole Proprietor
37 Years Of Experience
Accepts Medicare Assignment
Name
MARTHA E PHILLIPS (LISW-S, LICDC)
NPI
1285965764
Phone
(419) 267-1245
Address
815 E 2ND ST
Enumeration Date
22 January 2010
Last Update Date
22 January 2010

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4197841414
Graduation Year
1989 (37 years ago)
PAC ID
4981731262
Group Practice PAC ID
9739585480
Professional Enrollment ID
I20100419000050
Address ID
OH435122440DE1400XSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience55
Completeness75
Years active:16State licenses:2Digital endpointsOther names

2,650 CLINICAL SOCIAL WORKER in OH

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Provider Addresses for MARTHA E PHILLIPS (LISW-S, LICDC)

  • 815, East 2nd Street, Williamstown, Defiance, Defiance Township, Defiance County, Ohio, 43512, United States

    DEFIANCE, OH 435122308

    Phone: (419) 267-1245

    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: 2010-04-19

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
I20100419000050IClinical Social WorkerOHTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
90834Psychotherapy, 45 minutes11218$0
View full utilization report →

Insurance plans in this area (ZIP 43512)

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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: 9739585480View full group profile
NameSpecialtyState
Orthopedic SurgeryOH
Registered Dietitian Or Nutrition ProfessionalOH
Family PracticeOH
Orthopedic SurgeryOH
Family PracticeOH
Internal MedicineOH
Certified Nurse Midwife (Cnm)OH
Nurse PractitionerOH
Cardiovascular Disease (Cardiology), Internal MedicineOH
Nurse PractitionerOH

Reviews

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Frequently asked questions

Can I verify MARTHA E PHILLIPS (LISW-S, LICDC) with an NPI only?
You can start verification with NPI 1285965764 for MARTHA E PHILLIPS (LISW-S, LICDC), then check state licensing separately.
Can I rely on MARTHA E PHILLIPS (LISW-S, LICDC) being an active provider?
As of the registry snapshot, MARTHA E PHILLIPS (LISW-S, LICDC) is marked active.
What is MARTHA E PHILLIPS (LISW-S, LICDC)'s specialty?
The listing groups MARTHA E PHILLIPS (LISW-S, LICDC) with Clinical Social Worker. Clinical services aligned with this taxonomy classification.
Where is MARTHA E PHILLIPS (LISW-S, LICDC) based?
MARTHA E PHILLIPS (LISW-S, LICDC) is tied to Defiance, Ohio in the data we show; additional addresses may exist on the full record.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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