National Provider Identifier
Haywood Phillips Jr., LCSW-R
Haywood Phillips Jr., LCSW-R is listed in the NPPES registry with a primary specialty of Clinical Social Worker in Canandaigua, NY and a listed phone number of (585) 394-2000.
Profile Overview
- NPI
- 1497918007
- Provider Type
- Individual
- Primary Specialty
- Clinical Social Worker
- Enumeration Date
- July 03, 2008
- Last Updated
- July 03, 2008
Practice Location
- 400 Fort Hill Ave
- Canandaigua, NY 14424-1159
Phone: (585) 394-2000
Specialties
- Clinical Social Worker (1041C0700X)
Full Record
- NPI
- 1497918007
- Entity Type
- Individual
- Last Name
- Phillips
- First Name
- Haywood
- Name Prefix
- Mr.
- Name Suffix
- Jr.
- Credential
- LCSW-R
- Mailing Street Address
- 400 Fort Hill Ave
- Mailing City
- Canandaigua
- Mailing State
- NY
- Mailing ZIP Code
- 14424-1159
- Mailing Country
- US
- Mailing Phone
- (585) 394-2000
- Practice Street Address
- 400 Fort Hill Ave
- Practice City
- Canandaigua
- Practice State
- NY
- Practice ZIP Code
- 14424-1159
- Practice Country
- US
- Practice Phone
- (585) 394-2000
- Enumeration Date
- July 03, 2008
- Last Updated
- July 03, 2008
- Sex
- Male
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Clinical Social Worker (1041C0700X)