Mr. Andrew K Phomthavong, MSW
Counselor, Professional in Lowell, Massachusetts
1003110990- Practice location
- 298 Walker Street, Lowell, MA 01851
- Phone
- 619-743-9052
- Fax
- —
- Last updated
- September 29, 2026
Andrew Keodara Phomthavong is a Counselor, Professional based in Lowell, MA. Andrew Keodara Phomthavong practices in Lowell, MA and has the professional credentials of MSW. The NPI Number for Andrew Keodara Phomthavong is 1003110990. The current practice location address for Andrew Keodara Phomthavong is 298 Walker Street, Lowell, MA 01851 and can be reached out via phone at 619-743-9052.
Provider Profile Details
- NPI Number
- 1003110990
- Provider Name
- Andrew Keodara Phomthavong
- Credential
- MSW
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 298 Walker Street, Lowell, MA 01851
- Phone Number
- 619-743-9052
- Primary Taxonomy
- Counselor, Professional · 101YP2500X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- January 6, 2011
- Last Update Date
- September 29, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 298 Walker Street
Lowell, MA 01851 - City
- Lowell
- State
- Massachusetts
- Zip
- 01851
- Phone Number
- 619-743-9052
Provider Business Mailing Address Details
- Address
- 298 Walker St
Lowell, MA 01851-1848 - City
- Lowell
- State
- MA
- Zip
- 01851-1848
- Phone Number
- 619-743-9052
License Information
- Taxonomy
- Counselor, Professional · 101YP2500X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Mr. Andrew K Phomthavong, MSW?
The NPI number of Mr. Andrew K Phomthavong, MSW is 1003110990. It was assigned on January 6, 2011 and is currently active in the NPPES registry.
What is the specialty of Mr. Andrew K Phomthavong, MSW?
Mr. Andrew K Phomthavong, MSW is registered under the primary taxonomy Counselor, Professional (code 101YP2500X).
Where does Mr. Andrew K Phomthavong, MSW practice?
The practice location is 298 Walker Street, Lowell, MA 01851. The office can be reached at 619-743-9052 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1003110990 directly on the NPPES registry website.