Soukthanome Thammavong
LICSW
Social Worker - Clinical
About Soukthanome Thammavong
Soukthanome Thammavong, LICSW, is a female healthcare professional specializing in Social Worker - Clinical with a focus on Clinical, registered under National Provider Identifier (NPI) number 1164986246.
Soukthanome Thammavong received her medical education at OTHER, graduating in 2008. Their primary practice is located at 4111 CENTRAL AVE NE STE 201, Columbia Heights, Minnesota 55421. Patients can reach the office at (763) 283-7194.
Soukthanome Thammavong is enrolled in Medicare and accepts Medicare patients, is authorized to order and refer Medicare services. Soukthanome Thammavong has been NPI-registered since 2019.
Key Metrics
Practice Locations
1
Doctor Details
Identity & Credentials
- NPI Number
- 1164986246
- Entity Type
- Individual
- First Name
- Soukthanome
- Last Name
- Thammavong
- Credential
- LICSW
- Gender
- Female
- Medical School
- OTHER
- Graduation Year
- 2008
- Sole Proprietor
- No
- Status
- active
Primary Practice Location
- Address
- 4111 CENTRAL AVE NE STE 201
- City
- Columbia Heights
- State
- Minnesota
- ZIP
- 55421-2960
- Country
- United States
- Phone
- (763) 283-7194
- Fax
- (612) 437-4535
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
- 2001 BLOOMINGTON AVE
- City
- MINNEAPOLIS
- State
- MN
- ZIP
- 554043074
Medicare Enrollment
- Medicare Enrolled
- Yes
- Can Order/Refer
- Yes
- Telehealth
- No
- Excluded
- No
Frequently Asked Questions
What is Soukthanome Thammavong's NPI number?
What does Soukthanome Thammavong specialize in?
Where is Soukthanome Thammavong located?
Does Soukthanome Thammavong accept Medicare?
Does Soukthanome Thammavong offer telehealth or virtual visits?
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 Soukthanome Thammavong is 1164986246.