MORGAN L PHILLIPS LCSW,SAC
NPI 1538400445
Social Worker - Clinical in Green Bay, WI
NPI Status: Active since March 04, 2013
Contact Information
301 E SAINT JOSEPH ST
GREEN BAY, WI
ZIP 54301
Phone: (920) 433-3630
Fax: (920) 437-0533
- Individual
- Female
- Years of Experience 14
- Social Worker
- Clinical
- Accepts Insurance
- Accepts Medicare Approved Payment
- Opted-Out Medicare
About MORGAN PHILLIPS
This page provides the complete NPI Profile along with additional information for Morgan Phillips, a provider established in Green Bay, Wisconsin with a medical specialization in Social Worker, focusing in clinical and more than 14 years of experience. The healthcare provider is registered in the NPI registry with number 1538400445 assigned on March 2013. The practitioner's primary taxonomy code is 1041C0700X with license number 8322-123 (WI). The provider is registered as an individual and her NPI record was last updated 5 years ago.
- NPI
- 1538400445
- Provider Name
- MORGAN L PHILLIPS LCSW,SAC
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 301 E SAINT JOSEPH ST GREEN BAY, WI 54301
- Location Phone
- (920) 433-3630
- Location Fax
- (920) 437-0533
- Mailing Address
- PO BOX 22040 GREEN BAY, WI 54305
- Mailing Phone
- (920) 445-7222
- Mailing Fax
- (920) 437-0533
- Medical School Name
- OTHER
- Graduation Year
- 2012
- Is Sole Proprietor?
- No
- Enumeration Date
- 03-04-2013
- Last Update Date
- 11-23-2020
- Code Navigator
A clinical social worker like Morgan Phillips is licensed to diagnose and treat mental, behavioral, and emotional disorders. A clinical social worker helps patients develop strategies to change behavior or cope with difficult situations and refer patients to other resources or services, such as support groups or other mental health professionals.
The provider doesn't accept Medicare and has signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so. Morgan Phillips opted out of Medicare effective on 09-16-2024 until 09-16-2026. Opt out periods last for two years and cannot be terminated unless the provider is opting out for the very first time and the affidavit is terminated no later than 90 days after the opt out effective date. Opt-out affidavits might renew automatically renew every two years. The provider opted out of Medicare and cannot order and refer services to other healthcare providers.
Location Map
Secondary Locations
- 720 S VANBUREN ST
GREEN BAY, WI 54301
(920) 433-6073
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Social Worker Clinical
- Taxonomy Code
- 1041C0700X
- Type
- Behavioral Health & Social Service Providers
- License No.
- 8322-123
- License State
- WI
- Taxonomy Description
- 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.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 101YA0400X | Behavioral Health & Social Service Providers | Counselor | 16041-132 (WI) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Atlas $1,000 Gold - PPO
- Atlas $1,500 Standard Gold - PPO
- Atlas $2,650 Plus Silver - PPO
- Atlas $3,500 HSA Silver - PPO
- Atlas $5,000 Standard Silver - PPO
- Atlas $6,500 Plus Bronze - PPO
- Atlas $7,500 Standard Bronze - PPO
- Atlas $8,200 HSA Bronze - PPO
- Atlas $9,200 Catastrophic - PPO
- UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, No Referrals) - HMO
- UHC Bronze Copay Focus (No Referrals) - HMO
- UHC Bronze Copay Focus+ $0 Indiv Med Ded ($0 Virtual Urgent Care, Dental + Vision, No Referrals) - HMO
- UHC Bronze Standard (No Referrals) - HMO
- UHC Bronze Value (Rx Copay, No Referrals) - HMO
- UHC Bronze Value HSA (No Referrals) - HMO
- UHC Bronze Value+ (Rx Copay, Dental + Vision, No Referrals) - HMO
- UHC Gold Advantage ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals) - HMO
- UHC Gold Advantage (No Referrals) - HMO
- UHC Gold Advantage+ ($0 Virtual Urgent Care, $3 Tier 2 Rx, Dental + Vision, No Referrals) - HMO
- UHC Gold Advantage+ (Dental + Vision, No Referrals) - HMO
- UHC Gold Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals) - HMO
- UHC Gold Copay Focus (No Referrals) - HMO
- UHC Gold Standard (No Referrals) - HMO
- UHC Gold Standard (Rx Copay, No Referrals) - HMO
- UHC Silver Advantage ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals) - HMO
- UHC Silver Advantage (Rx Copay, No Referrals) - HMO
- UHC Silver Advantage+ ($0 Virtual Urgent Care, $3 Tier 2 Rx, Dental + Vision, No Referrals) - HMO
- UHC Silver Advantage+ (Rx Copay, Dental + Vision, No Referrals) - HMO
- UHC Silver Copay Focus (No Referrals) - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Morgan Phillips is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Opted-Out of Medicare? Yes
Opt-Out Effective Date: 09-16-2024
Opt-Out End Date: 09-16-2026
Eligible to Order and Refer? No
PECOS PAC ID: 3678870607
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20231027002932
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Yes
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 5 | 3 | 8 | 4 | 0 | 0 | 4 | 4 | 5 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 5 | 6 | 8 | 8 | 0 | 0 | 4 | 8 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 5 + 6 + 8 + 8 + 0 + 0 + 4 + 8 + 24 = 65 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 65 = 5 | 5 | ||||||||
The NPI number 1538400445 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1528043858 | DENISE M BALZOLA MSW Individual | Counselor (Mental Health) | 301 E SAINT JOSEPH ST GREEN BAY, WI 54301 (920) 433-6073 |
| 1568447811 | JOLAYNE M BOEHMKE LPC Individual | Counselor | 301 E SAINT JOSEPH ST GREEN BAY, WI 54301 (920) 433-3673 |
| 1467437723 | MARY L HILL LCSW Individual | Social Worker | 301 E SAINT JOSEPH ST GREEN BAY, WI 54301 (920) 433-6073 |
| 1881679124 | BLISS A BAUDHUIN LPC Individual | Counselor | 301 E SAINT JOSEPH ST GREEN BAY, WI 54301 (920) 433-6073 |
| 1306821673 | LESLIE A KOCHA APSW Individual | Social Worker | 301 E SAINT JOSEPH ST GREEN BAY, WI 54301 (920) 433-6073 |
| 1235114513 | KIM L LASECKI PHD Individual | Psychologist (Clinical Child & Adolescent) | 301 E SAINT JOSEPH ST GREEN BAY, WI 54301 (920) 433-6073 |
| 1831174119 | MARGARET ROSE LEGLER LCSW Individual | Social Worker (Clinical) | 301 E SAINT JOSEPH ST GREEN BAY, WI 54301 (920) 433-6073 |
| 1962487116 | ERIC L LAVARDA LPC Individual | Social Worker | 301 E SAINT JOSEPH ST GREEN BAY, WI 54301 (920) 433-6073 |
| 1982689188 | DONNA L RASMUSSEN LCSW Individual | Social Worker | 301 E SAINT JOSEPH ST GREEN BAY, WI 54301 (920) 433-6073 |
| 1053396796 | JONI CONSTANCE DELWICHE LCSW Individual | Social Worker (Clinical) | 301 E SAINT JOSEPH ST GREEN BAY, WI 54301 (920) 433-6073 |
| 1588649222 | LYNETTE MARIE HARRIS LCSW Individual | Social Worker | 301 E SAINT JOSEPH ST GREEN BAY, WI 54301 (920) 433-6073 |
| 1659358620 | DR. CARLOS S CASTILLO MD Individual | Psychiatry & Neurology (Psychiatry) | 301 E SAINT JOSEPH ST GREEN BAY, WI 54301 (920) 433-3630 |
| 1801824305 | BELLIN PSYCHIATRIC CENTER INC Organization | Psychiatric Hospital | 301 E SAINT JOSEPH ST GREEN BAY, WI 54301 (920) 433-3630 |
| 1205044112 | MARY L GIBSON MS Individual | Counselor | 301 E SAINT JOSEPH ST GREEN BAY, WI 54301 (920) 430-3630 |
| 1114135167 | MARY M MCKAY CADC LLL Individual | Counselor (Addiction (Substance Use Disorder)) | 301 E SAINT JOSEPH ST GREEN BAY, WI 54301 (920) 433-3630 |
| 1457677338 | BELLIN PSYCHIATRIC CENTER Organization | Clinic/Center | 301 E SAINT JOSEPH ST GREEN BAY, WI 54301 (920) 433-3630 |
| 1174839336 | PATRICIA L VANDERMAUSE LPC ,CSAC Individual | Counselor (Professional) | 301 E SAINT JOSEPH ST GREEN BAY, WI 54301 (920) 433-3630 |
| 1679879167 | MS. ABBIE HONZIK RNC MSE Individual | Counselor (Mental Health) | 301 E SAINT JOSEPH ST GREEN BAY, WI 54301 (920) 431-5533 |
| 1033497755 | PATSY L WHITE MSW Individual | Counselor | 301 E SAINT JOSEPH ST GREEN BAY, WI 54301 (920) 433-3630 |
| 1780648022 | RICHARD F. RIDER PSY.D. Individual | Psychologist | 301 E SAINT JOSEPH ST GREEN BAY, WI 54301 (920) 433-7992 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1538400445, enumerated in the NPI registry as an "individual" on March 04, 2013
The provider is located at 301 E Saint Joseph St Green Bay, Wi 54301 and the phone number is (920) 433-3630
The provider's speciality is Social Worker with taxonomy code 1041C0700X with a focus in Clinical
The provider has more than 14 years of experience.
The provider might be accepting Accepts: HealthPartners and UnitedHealthcare. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
No, the provider signed an affidavit on September 16, 2024 to opt-out of the Medicare program. The provider is excluded from the Medicare program until September 16, 2026.
This NPI record was last updated on March 04, 2013. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.