| Linda Nang Phanthavong, LICSW | |
|
5555 Boone Ave N, New Hope, MN 55428-3636 | |
| (651) 774-0011 | |
| (651) 774-0606 |
| Full Name | Linda Nang Phanthavong |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 5555 Boone Ave N, New Hope, Minnesota |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508747791 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 31962 (Minnesota) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Linda Nang Phanthavong, LICSW 5555 Boone Ave N, New Hope, MN 55428-3636 Ph: (651) 774-0011 | Linda Nang Phanthavong, LICSW 5555 Boone Ave N, New Hope, MN 55428-3636 Ph: (651) 774-0011 |
Tara Noelle Tappe, LICSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 9220 Bass Lake Rd Ste 255, New Hope, MN 55428 Phone: 763-225-4052 | |
Ms. Mary Kay Schoen, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6100 W Broadway Ave Apt 102, New Hope, MN 55428 Phone: 763-222-6042 | |
Katie Suzanne Perzel, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 9220 Bass Lake Rd Ste 255, New Hope, MN 55428 Phone: 763-225-4052 | |
Jaleesa Lenoir, MSW, LICSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 5555 Boone Ave N, New Hope, MN 55428 Phone: 651-774-0011 Fax: 651-774-0606 | |
Farah Ahamed Noorani, LICSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 5555 Boone Ave N, New Hope, MN 55428 Phone: 651-774-0011 Fax: 651-774-0606 | |
Hannah Claire Langholz, LICSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 5555 Boone Ave N, New Hope, MN 55428 Phone: 651-774-0011 Fax: 651-774-0606 | |
Bree Lynn Meduna, LICSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 5555 Boone Ave N, New Hope, MN 55428 Phone: 651-774-0011 Fax: 651-774-0606 |