Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Phoenix Collective Inc

Organization Clinical Social Worker · NPI 1477429439

Phoenix Collective Inc is a Clinical Social Worker in San Diego, California. Registered with an NPI since 2025.

In the registry since
2025
Specialties on file
2
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

7456 Mission Gorge Rd Unit 165
San Diego, CA 92120-1301
Phone: (619) 535-0773
Fax: (619) 535-7055
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X
Community/Behavioral Health Agency Taxonomy 251S00000X

Record details

NPI number1477429439
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Robin Mathy — President And Ceo · (651) 535-0773
NPI enumeratedOctober 15, 2025
Last updated in NPPESOctober 15, 2025
Certification dateSeptember 30, 2025
Mailing address344 N Central Ave Apt 9, Medford, OR 97501-5952

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