Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. KEVIN PANYANOUVONG, LCSW
Active Sole ProprietorMR. KEVIN PANYANOUVONG, LCSW is a Clinical Social Worker healthcare provider located in MODESTO, California. NPI 1033245857 is currently active in the NPPES registry. Verify at CMS.
Clinical Social Worker · MODESTO, CA
Registration Details
- NPI Number
- 1033245857
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 26, 2007 (19.445916053736 yrs)
- Last Updated
- Dec 20, 2021
- License
-
25999 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
800 SCENIC DRMODESTO, CA, 953506131Browse CA providers · Browse ZIP 95350
- Phone
- 2095256225
- Fax
- 2095584326
- Primary Specialty
-
Clinical Social Worker
1041C0700X
- Additional Specialty
- Clinical Social Worker
Other Clinical Social Worker Providers in MODESTO, CA
| Name | Credential | NPI |
|---|---|---|
| MR. WILLIAM LEON BODDIE II | L.C.S.W | 1003842311 |
| MRS. KATHERINE MARY SCHOLTEN | LMSW | 1952334880 |
| MS. CYNTHIA SUZANNE CHAPA | LCSW | 1578585782 |
| PAUL SAMUEL CRENSHAW | LCSW | 1033125059 |
| MR. DANIEL J. BRUCE | L.C.S.W. | 1891889366 |
| JIMMY DEAN VAN TASSEL | LCSW | 1699831214 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.