PHILLIP THOMAS LUTTRELL , NPI 1588020846
Social Worker in LIVONIA, MI
Last Updated on : Mar 29,2019
About PHILLIP THOMAS LUTTRELL (NPI 1588020846)
PHILLIP THOMAS LUTTRELL is a Social Worker provider in LIVONIA, United States. His medical specialization is Social Worker with a focus in Clinical.
1588020846 is NPI number of PHILLIP THOMAS LUTTRELL.
PHILLIP THOMAS LUTTRELL's primary taxonomy code based on NPI Lookup is 1041C0700X with license number 6801103889. This taxonomy code refers to Social Worker.
PHILLIP THOMAS LUTTRELL has more than 6 years of experience.
PHILLIP THOMAS LUTTRELL current practice location address is 29532 BOBRICH ST, LIVONIA, MI. PHILLIP THOMAS LUTTRELL can be reached out via phone at 989-413-9115 .
You can also correspond with PHILLIP THOMAS LUTTRELL through mail at mailing address 22170 W 9 MILE RD, SOUTHFIELD, MI, United States. Mailing address contact number is 248-372-6800.
The enumeration date of PHILLIP THOMAS LUTTRELL is 01-Jan-2016. The provider is registered as an Individual and the NPI record was last updated 4 years ago.1588020846 NPI Information
Basic NPI information of PHILLIP THOMAS LUTTRELL (NPI 1588020846) is provided below.
| Name | PHILLIP THOMAS LUTTRELL |
|---|---|
| National Provider Id (NPI) | 1588020846 |
| Entity Type | Individual |
| Gender | M |
| Credential | |
| Practice Address | 29532 BOBRICH ST,
LIVONIA, MI, United States |
| Practice Telephone | 989-413-9115 |
| Practice Fax Number | |
| Mailing Address | 22170 W 9 MILE RD ,
SOUTHFIELD, MI, United States |
| Mailing Telephone | 248-372-6800 |
| Mailing Fax Number | |
| Enumeration Date | 01-Jan-2016 |
| Last Updated Date | 29-Mar-2019 |
PHILLIP THOMAS LUTTRELL (NPI 1588020846) Primary Taxonomy Information
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs, the license data is associated to the taxonomy code.
| Primary | Taxonomy Code | Clasification | License Number | License State |
|---|---|---|---|---|
| Y | 1041C0700X | Social Worker, Clinical | 6801103889 | MI |
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.
PHILLIP THOMAS LUTTRELL (NPI 1588020846) Secondary Taxonomy Information
The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs, the license data is associated to each taxonomy code.
| Primary | Taxonomy Code | Clasification | License Number | License State |
|---|---|---|---|---|
| N | 101YA0400X | Counselor, Addiction (Substance Use Disorder) | L364683792106 | MI |
| N | 101YM0800X | Counselor, Mental Health | L364683792106 | MI |
PHILLIP THOMAS LUTTRELL (NPI 1588020846) Office Location
Office location of PHILLIP THOMAS LUTTRELL is provided in the Google maps below.Providers in same location
Here are a few of the other providers in the same location.
| NPI | Name | Taxonomy | Address | Enumeration date |
|---|---|---|---|---|
| 1043877889 | JOHN ALLEN RUSS | Dentist | 6450 LA HIGHWAY 1,
BATCHELOR, LA, United States |
28-May-2019 |
| 1932142791 | MARGARET P SCROGGS | Nurse Practitioner, Family | PO BOX 250,
LIVONIA, LA, United States |
13-Jun-2006 |
| 1093294530 | ALICIA KLEINPETER | Social Worker | 6450 LOUISIANA HIGHWAY 1,
BATCHELOR, LA, United States |
07-Aug-2018 |
| 1497740245 | POINTE COUPEE THRIF T WAY PHY | Pharmacy | PO BOX 187,
LIVONIA, LA, United States |
19-Sep-2005 |
| 1639268196 | RICHARD GERARD PALECKI | Podiatrist | PO BOX 575,
LIVONIA, LA, United States |
12-Oct-2006 |
| 1043723547 | JADA WOODS | Social Worker, School | 6450 LOUISIANA HIGHWAY 1,
BATCHELOR, LA, United States |
07-Nov-2017 |
| 1487829842 | COASTAL FOOT CLINIC INC | Podiatrist | PO BOX 575,
LIVONIA, LA, United States |
28-Apr-2008 |
| 1316225568 | COASTAL FOOT CLINIC, A P.C. | Podiatrist | PO BOX 575,
LIVONIA, LA, United States |
21-Jul-2011 |
| 1003910167 | INNIS COMMUNITY HEALTH CENTER, INC | Clinic/Center, Federally Qualified Health Center (FQHC) | 6450 LOUISIANA HIGHWAY 1,
BATCHELOR, LA, United States |
11-Sep-2006 |
| 1578986006 | INNIS COMMUNITY HEALTH CENTER, INC | Clinic/Center, Federally Qualified Health Center (FQHC) | 6450 LOUISIANA HIGHWAY 1,
BATCHELOR, LA, United States |
04-Feb-2014 |
| 1477956183 | JAMES WYATT WALKER | Pharmacy, Community/Retail Pharmacy | 3066 LOUISIANA HWY 78,
LIVONIA, LA, United States |
08-Oct-2014 |
| 1184099574 | INNIS COMMUNITY HEALTH CENTER, INC | Clinic/Center, Federally Qualified Health Center (FQHC) | 3118 LA HIGHWAY 78,
LIVONIA, LA, United States |
10-Dec-2015 |
| 1548751415 | CAROLINE STAGG | Nurse Practitioner, Family | 6450 LA HIGHWAY 1,
BATCHELOR, LA, United States |
25-May-2018 |
| 1861028326 | J WALKER ENTERPRISES LLC | Pharmacy, Community/Retail Pharmacy | 3066 HWY 78,
LIVONIA, LA, United States |
17-Mar-2020 |
| 1831835552 | GINA ROUSSEL WEAVER | Social Worker, Clinical | 9223 SECTION RD,
PORT ALLEN, LA, United States |
05-May-2022 |
| 1306563366 | SARAH WEBRE | Nurse Practitioner, Family | 6378 YATTON DR,
ADDIS, LA, United States |
20-Oct-2022 |
| 1083324289 | PEGGY ANN THOMAS | Physician Assistant | 8387 NEWFIELD DR,
LIVONIA, LA, United States |
29-Nov-2022 |
| 1306559844 | MICHAELA BERGERON | Behavior Analyst | 3161 LA HIGHWAY 78,
LIVONIA, LA, United States |
29-Dec-2022 |
| 1861108367 | ERIN MCCAULLEY CREPPEL | Nurse Practitioner, Family | 8387 NEWFIELD DR,
LIVONIA, LA, United States |
27-Jan-2023 |
| 1700054194 | ALISHIA M FOUCHE | Pharmacist | 33510 SCHOOLCRAFT RD,
LIVONIA, MD, United States |
19-Feb-2008 |
How to check whether NPI 1063496693 is valid?
The following video explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
FAQs
Whose NPI Number is 1588020846?1588020846 is the NPI number of PHILLIP THOMAS LUTTRELL.
What is the specialty for PHILLIP THOMAS LUTTRELL?The Specialty of PHILLIP THOMAS LUTTRELL is Social Worker.
NPI number meaning
| Field Name | Field Value |
|---|---|
| NPI | 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. |
| Entity Type | Code describing the type of health care provider that is being assigned an NPI.
Codes are:
|
| Provider Business Mailing Address | The mailing address of the provider being identified contains First line, Second Line, City name, State name, Postal code, and Country code. |
| Provider Business Mailing Address Telephone Number | The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as "Provider location address telephone number". |
| Provider Business Mailing Address Fax Number | The fax number associated with the mailing address of the provider being identified. This data element may contain the same information as ''Provider location address fax number''. |
| Provider Business Practice Location Address Telephone Number | The telephone number associated with the location address of the provider being identified. |
| Provider Business Practice Location Address Fax Number | The fax number associated with the location address of the provider being identified. |
| Provider Enumeration Date | The date the provider was assigned a unique identifier (assigned an NPI). |
| Last Update Date | The date that a record was last updated or changed. |
| Authorized Official Telephone Number | The 10-position telephone number of the authorized official. |
| Healthcare Provider Taxonomy Code | The Health Care Provider Taxonomy code is a unique alphanumeric code, ten characters in length. The code set is structured into three distinct "Levels" including Provider Type, Classification, and Area of Specialization. |
| Healthcare Provider Taxonomy | Taxonomy Description of the Healthcare Provider. |
| Provider License Number | Certain taxonomy selections will require you to enter your license number and the state where the license was issued. Select Foreign Country in the state drop down box if the license was issued outside of United States. The License Number field allows the following special characters: ampersand, apostrophe, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. A field cannot contain all special characters. DO NOT report the Social Security Number (SSN), IRS Individual Taxpayer Identification Number (ITIN) in this section. |
| Provider License Number State Code | Provider License Number State Code #1 |
| Healthcare Provider Primary Taxonomy Switch | Primary Taxonomy:
|