Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Phillip Samuel-Siegel, LCSW

Individual provider Clinical Social Worker · NPI 1043372030

Mr. Phillip Samuel-Siegel, LCSW is a Clinical Social Worker in Boonton, New Jersey. Licensed in New Jersey. Registered with an NPI since 2006.

Licensed in
NJ
In the registry since
2006
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

130 Powerville Rd
Boonton, NJ 07005-8705
Phone: (973) 316-1869
Fax: (973) 316-1920
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 44SC05268300 (NJ)

Record details

NPI number1043372030
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorNo
NPI enumeratedDecember 15, 2006
Last updated in NPPESJuly 8, 2007

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