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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KHAMPHADY KEOVONGSA, LICSW

Active Sole Proprietor

KHAMPHADY KEOVONGSA, LICSW is a Clinical Social Worker healthcare provider located in ARLINGTON, Massachusetts. NPI 1194125625 is currently active in the NPPES registry. Verify at CMS.

Clinical Social Worker · ARLINGTON, MA

Registration Details

NPI Number
1194125625
Provider Type
Individual
Gender
Male
NPI Issued
Sep 3, 2014 (11.963576835834 yrs)
Last Updated
Sep 21, 2023
Licenses
9455497-3501 (UT)
9455497-3502 (UT)
Sole Proprietor
Yes

Practice Information

Address
30 STANDISH RD
ARLINGTON, MA, 024767069
Browse MA providers · Browse ZIP 02476
Phone
7819994975
Fax
8012634333
Primary Specialty
Clinical Social Worker
1041C0700X
Additional Specialty
Clinical Social Worker

Other Clinical Social Worker Providers in ARLINGTON, MA

Name Credential NPI
MR. JOSEPH ROBERT WINN MSW 1568452480
DEBORAH R ARMSTRONG LICSW 1467432641
MS. ASHLEY DUMAS DAVIS LICSW 1326011586
MRS. GERALDINE B ERTEL LICSW 1689647398
DEBORAH DEIXEL BLUMBERG MSW LICSW 1801862636
MS. CYNTHIA J CLAFLIN LICSW 1134188089
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.