IndividualActive
Michael Phillips, LICSW
NPI 1245017474 · Clinical Social Worker · Pahrump, NV
Provider details
- NPI number
- 1245017474
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- LICSW
- Sex
- Male
- Sole proprietor
- Yes
- License
- SWI.LW.61502192 (WA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(58/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3066 Mount Charleston Dr
Pahrump, NV 89048-1048
Phone: (336) 883-5543
Street-level locationGet directions
Mailing address
3066 Mount Charleston Dr
Pahrump, NV 89048-1048
Registry dates
- Enumerated
- 2023-09-11
- Last updated
- 2026-01-28
- Certified
- 2026-01-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.