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Linda Nang Phanthavong

LICSW

Social Worker - Clinical

NPI: 1508747791New Hope, Minnesota, 55428(651) 774-0011Female

About Linda Nang Phanthavong

Linda Nang Phanthavong, LICSW, is a female healthcare professional specializing in Social Worker - Clinical with a focus on Clinical, registered under National Provider Identifier (NPI) number 1508747791.

Linda Nang Phanthavong received her medical education at OTHER, graduating in 2022. Their primary practice is located at 5555 BOONE AVE N, New Hope, Minnesota 55428. Patients can reach the office at (651) 774-0011.

Linda Nang Phanthavong is enrolled in Medicare and accepts Medicare patients, is authorized to order and refer Medicare services. Linda Nang Phanthavong has been NPI-registered since 2025.

Key Metrics

Practice Locations

1

Doctor Details

Identity & Credentials

NPI Number
1508747791
Entity Type
Individual
First Name
Linda
Last Name
Phanthavong
Credential
LICSW
Gender
Female
Medical School
OTHER
Graduation Year
2022
Sole Proprietor
Yes
Status
active

Primary Practice Location

Address
5555 BOONE AVE N
City
New Hope
State
Minnesota
ZIP
55428-3636
Country
United States
Phone
(651) 774-0011
Fax
(651) 774-0606

Specialty & Taxonomy

Primary Specialty
Social Worker - Clinical
Classification
Social Worker
Specialization
Clinical
Taxonomy Code
1041C0700X

NPI Registration

Enumeration Date
Last Updated
Certification Date

Mailing Address

Address
5555 BOONE AVE N
City
NEW HOPE
State
MN
ZIP
554283636

Medicare Enrollment

Medicare Enrolled
Yes
Can Order/Refer
Yes
Telehealth
No
Excluded
No

Frequently Asked Questions

What is Linda Nang Phanthavong's NPI number?
Linda Nang Phanthavong's National Provider Identifier (NPI) is 1508747791. An NPI is a unique 10-digit identification number issued by the Centers for Medicare & Medicaid Services (CMS) to healthcare providers in the United States.
What does Linda Nang Phanthavong specialize in?
Linda Nang Phanthavong specializes in Social Worker - Clinical. They received their medical education at OTHER (class of 2022).
Where is Linda Nang Phanthavong located?
Linda Nang Phanthavong practices at 5555 BOONE AVE N, New Hope, Minnesota 55428. You can reach them by phone at (651) 774-0011.
Does Linda Nang Phanthavong accept Medicare?
Yes, Linda Nang Phanthavong is enrolled in the Medicare program and accepts Medicare patients. They are also authorized to order and refer services under Medicare.
Does Linda Nang Phanthavong offer telehealth or virtual visits?
Linda Nang Phanthavong does not currently offer telehealth services. In-person visits are required at their practice location.

What is an NPI Number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to healthcare providers in the United States by the Centers for Medicare & Medicaid Services (CMS). Required under HIPAA, every healthcare provider who transmits health information electronically must have an NPI. The NPI for Linda Nang Phanthavong is 1508747791.