Provider Profile

Linda N. Phanthavong, LICSW

Unclaimed Profile

About Linda Phanthavong

Linda N. Phanthavong, LICSW is a clinical social worker practicing in New Hope, MN. This provider record is associated with NPI 1508747791.

Factual summary compiled by Guide.md from public records; not written by this provider.

Education & Training

School Other Graduated: 2022

Specialty

Clinical Social Worker (Primary)

Credentials & Licensing

MN license31962
NPI1508747791
NPI issued09/12/2025

License numbers are what the provider reported to NPPES when the NPI was issued or updated. NPPES does not verify licensure; confirm current standing with the state licensing board.

Medicare information

Accepts Medicare assignmentSometimes (reported per claim)
Medicare opt-outNo
Can order and refer in MedicareYes

Exactly as CMS reports it (National Downloadable File, Opt-Out Affidavits, Order & Referring). Not an insurance directory; confirm coverage with the office.

Common questions

What does Linda N. Phanthavong specialize in?

Linda N. Phanthavong is a clinical social worker in New Hope, MN. That is the designation recorded for this NPI in the federal registry.

NPI registry

Where is Linda N. Phanthavong located?

Linda N. Phanthavong is listed at 5555 Boone Ave N, New Hope, MN 55428. Addresses come from the NPI registry and can lag a move, so confirm before travelling.

NPI registry

What is Linda N. Phanthavong's phone number?

The number on file is (651) 774-0011. Contact the office directly to confirm availability and scheduling.

NPI registry

What is the NPI for Linda N. Phanthavong?

Linda N. Phanthavong's National Provider Identifier is 1508747791. It is issued by the Centers for Medicare & Medicaid Services and is unique and permanent — it does not change if they move practice.

NPI registry

Where did Linda N. Phanthavong train?

Linda N. Phanthavong attended Other, graduating in 2022. This comes from the CMS National Downloadable File.

CMS public data

How much experience does Linda N. Phanthavong have?

Linda N. Phanthavong has 4 years experience. Calculated from a graduation year of 2022, reported in the CMS National Downloadable File.

CMS public data

Is Linda N. Phanthavong's profile verified?

Not yet. This profile is built from public federal data and has not been confirmed by Linda N. Phanthavong. If this is you, claiming it is free.

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