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

Individual provider Clinical Social Worker · NPI 1265557946

MS. Phyllis Pautrat is a Clinical Social Worker in Philadelphia, Pennsylvania. Qualified in 1993, 33 years ago. Accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
33
Licensed in
PA
In the registry since
2007
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Practice location Address checks out

2055 E Allegheny Ave
Philadelphia, PA 19134-3832
Phone: (215) 427-5800
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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 CW013865 (PA)

Record details

NPI number1265557946
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 20, 2007
Last updated in NPPESJuly 9, 2007

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 1993 (33 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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