SANDRA E PHILLIPS (LCSW) – Clinical Social Worker, NPI 1922312776

SANDRA E PHILLIPS (LCSW) is a healthcare provider. based in Lincoln city, Oregon. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LCSW. They hold a License No. L6950 (OR). The NPI Number for SANDRA E PHILLIPS (LCSW) is 1922312776

Main info

Female
Sole Proprietor
22 Years Of Experience
Accepts Medicare Assignment
Name
SANDRA E PHILLIPS (LCSW)
NPI
1922312776
Phone
(541) 265-4947
Address
4422 NE Devils Lake Blvd Ste 2
Enumeration Date
4 August 2010
Last Update Date
24 February 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5415745960
Graduation Year
2004 (22 years ago)
PAC ID
4082847389
Group Practice PAC ID
3375439862
Professional Enrollment ID
I20191231002466
Address ID
OR973653823NE51XXXSTXX400
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness85
Years active:15State licenses:1Digital endpointsOther names

1,405 CLINICAL SOCIAL WORKER in OR

Provider Addresses for SANDRA E PHILLIPS (LCSW)

  • 4422 NE Devils Lake Blvd Ste 2

    Lincoln City, OR 973675000

    Phone: (541) 265-4947

    Type: Location

  • 36 SW NYE ST

    NEWPORT, OR 973653821

    Phone: (541) 265-0445

    Fax: (844) 760-0526

    Type: Mailing

  • 51 SW LEE ST

    NEWPORT, OR 973653823

    Phone: (208) 467-4889

    Fax: (208) 467-4499

    Type: Location

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: 2019-12-31

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
I20191231002466IClinical Social WorkerORTBD

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 97367)

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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: 3375439862View full group profile
NameSpecialtyState
Nurse PractitionerOR
Nurse PractitionerOR
P S Y C H I A T R YOR
-OR
Osteopathic Manipulative MedicineCA
Mental Health CounselorOR
Mental Health CounselorOR
P S Y C H I A T R YOR
Nurse PractitionerCA
-OR

Reviews

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Frequently asked questions

What is the registry number for SANDRA E PHILLIPS (LCSW)?
The registry entry for SANDRA E PHILLIPS (LCSW) shows NPI 1922312776.
Is SANDRA E PHILLIPS (LCSW)'s NPI status active today?
Active status means SANDRA E PHILLIPS (LCSW)'s NPI record is not deactivated in the public file.
What services align with SANDRA E PHILLIPS (LCSW)'s listing?
SANDRA E PHILLIPS (LCSW)'s public classification highlights Clinical Social Worker. Clinical services aligned with this taxonomy classification.
What city is tied to SANDRA E PHILLIPS (LCSW)?
The directory associates SANDRA E PHILLIPS (LCSW) with Lincoln City, Oregon. Check all listed addresses for suites or satellite offices.
Who maintains SANDRA E PHILLIPS (LCSW)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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