Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SOUKTHANOME THAMMAVONG, LICSW
ActiveSOUKTHANOME THAMMAVONG, LICSW is a Clinical Social Worker healthcare provider located in COLUMBIA HEIGHTS, Minnesota. NPI 1164986246 is currently active in the NPPES registry. Verify at CMS.
Clinical Social Worker · COLUMBIA HEIGHTS, MN
Registration Details
- NPI Number
- 1164986246
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 23, 2019 (7.5130206846138 yrs)
- Last Updated
- Apr 25, 2019
Practice Information
- Address
-
4111 CENTRAL AVE NE STE 201COLUMBIA HEIGHTS, MN, 554212960Browse MN providers · Browse ZIP 55421
- Phone
- 7632837194
- Fax
- 6124374535
- Primary Specialty
-
Clinical Social Worker
1041C0700X
Other Clinical Social Worker Providers in COLUMBIA HEIGHTS, MN
| Name | Credential | NPI |
|---|---|---|
| NABIHA ABUBAKAR ALI | — | 1679145122 |
| MARIA HUGHES | — | 1477286722 |
| ERIN NICOLE BULLER | LICSW | 1659090033 |
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.