Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1811713449 Individual Practitioner Male Practitioner

Phillip Everett Willis

Social Worker • Ammon, ID

Professional Overview & Biography Verified Profile Summary

Phillip Willis is a registered healthcare professional specializing in Social Worker in Ammon, ID. Practice services are available at 2705 E 17TH ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2705 E 17th St

Ammon, ID 834066601

Telephone 2083467500
Associated Practice Facility / Clinic
🏢 Pearl Health Clinic Facility NPI 1447426465

Specialty Benchmarks & Practice Insights

Comparative analytics for Social Worker in Ammon, ID

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 8.7 Yrs
State Avg: 11.2 Yrs
Regional Practice Density
81 Specialists

Practicing in Ammon, ID (1625 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2024-11-27
Social Worker Primary Specialty

NUCC Taxonomy Code: 104100000X

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Jayde Barnes , PMHNP

Nurse Practitioner - Psychiatric/Mental Health

NPI 1023618659

Psychiatric-Mental Health Nurse Practitioner

Jodi Dennett

Counselor - Mental Health

NPI 1033908306
Sarah Clark

Peer Specialist

NPI 1033964796
Itzel Valencia , BS

Social Worker

NPI 1043645740

Bachelor of Science

Siu Ling Chi

Counselor - Professional

NPI 1043829062
Zakery Warren , LCPC4472

Counselor - Mental Health

NPI 1053597344

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active November 27, 2024

NPI status registered as active in NPPES database

📍
Updated Practice Location November 27, 2024

Registered at 2705 E 17TH ST, AMMON, ID 834066601 (Tel: 2083467500)

📍
Updated Business Mailing Address November 27, 2024

Registered at 2705 E 17TH ST, AMMON, ID 834066601 (Tel: 2083467500)

👤
Provider Name / Credentials Updated November 27, 2024

Recorded as PHILLIP WILLIS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 27, 2024

Social Worker

🟢
Initial NPI Registration & Enumeration November 27, 2024

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1811713449
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 27, 2024
Last Update: November 27, 2024
Sole Proprietor: No

Mailing Address

2705 E 17th St

Ammon, ID 834066601

Phone: 2083467500

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.