Philip Waitzman, LCSW
NPI 1003657941ActiveIndividual· Social Worker, Clinical· Saint Joseph, MI
Social Worker, Clinical (LCSW) in Saint Joseph, Michigan, trained at University of Illinois College of Med (Chi/Peor/Rock/Chm-Urb) (class of 2008). Enrolled in Medicare as practitioner - clinical social worker.
Overview
| NPI | 1003657941 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LCSW |
| Sole proprietor | Yes |
| NPI issued | Jun 4, 2024 |
| Last updated in NPPES | Jun 4, 2024 |
| Certified by provider | Jun 4, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | 149.025061 | IL |
| Social Worker, Clinical | 1041C0700X | 6801118316 | MI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Social Worker (MI) |
|---|
Education and affiliations
| Medical school | University of Illinois College of Med (Chi/Peor/Rock/Chm-Urb) |
|---|---|
| Graduation year | 2008 |
| Medicare specialty | Clinical Social Worker |
Medical group
- Psychiatric Specialties, PLCSaint Joseph, MI · 10 clinicians
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