Active NPIIndividual provider

Miss Phuong L DO, LICSW

Social Worker, Clinical in East Longmeadow, Massachusetts

NPI Number1467561316
Practice location
264 N Main St Ste 10, East Longmeadow, MA 01028-1837
Fax
—
Last updated
March 17, 2019

Phuong Loan DO is a Social Worker, Clinical based in East Longmeadow, MA. Phuong Loan DO practices in East Longmeadow, MA and has the professional credentials of LICSW. The NPI Number for Phuong Loan DO is 1467561316 and holds a License No. 116599 (MA). The current practice location address for Phuong Loan DO is 264 N Main St Ste 10, East Longmeadow, MA 01028-1837 and can be reached out via phone at 413-244-0091.

Provider Profile Details

NPI Number
1467561316
Provider Name
Phuong Loan DO
Credential
LICSW
Provider Entity Type
Individual
Gender
Female
Address
264 N Main St Ste 10, East Longmeadow, MA 01028-1837
Phone Number
413-244-0091
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
No
Provider Enumeration Date
August 30, 2006
Last Update Date
March 17, 2019
NPI Status
Active

Provider Business Practice Location Address Details

Address
264 N Main St Ste 10
East Longmeadow, MA 01028-1837
Zip
01028-1837
Phone Number
413-244-0091
East Longmeadow, MA 01028Get directions →

Provider Business Mailing Address Details

Address
264 N Main St Ste 10
East Longmeadow, MA 01028-1837
City
East Longmeadow
State
MA
Zip
01028-1837
Phone Number
413-244-0091

License Information

License Number
116599
License State
MA
Taxonomy
Social Worker, Clinical · 1041C0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
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 Miss Phuong L DO, LICSW?

The NPI number of Miss Phuong L DO, LICSW is 1467561316. It was assigned on August 30, 2006 and is currently active in the NPPES registry.

What is the specialty of Miss Phuong L DO, LICSW?

Miss Phuong L DO, LICSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in MA under license number 116599.

Where does Miss Phuong L DO, LICSW practice?

The practice location is 264 N Main St Ste 10, East Longmeadow, MA 01028-1837. The office can be reached at 413-244-0091 (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 1467561316 directly on the NPPES registry website.

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