| Vyvian Phan, LCSW | |
|
9201 Montgomery Blvd Ne Ste A, Albuquerque, NM 87111-2468 | |
| (505) 702-9080 | |
| Not Available |
| Full Name | Vyvian Phan |
|---|---|
| Gender | Female |
| Speciality | Clinical Social Worker |
| Experience | 6 Years |
| Location | 9201 Montgomery Blvd Ne Ste A, Albuquerque, New Mexico |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255840575 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | SWB-2023-0980 (New Mexico) | Primary |
| 1041C0700X | Social Worker - Clinical | 115372 (Texas) | Secondary |
| Entity Name | Faith Works Counseling, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073045688 PECOS PAC ID: 1850763095 Enrollment ID: O20230215003230 |
| Entity Name | Movement Psychotherapy Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942080114 PECOS PAC ID: 8820511694 Enrollment ID: O20250402001656 |
| Mailing Address | Practice Location Address |
|---|---|
| Vyvian Phan, LCSW 1855 Smarty Jones St Se, Albuquerque, NM 87123-2398 Ph: (505) 702-9080 | Vyvian Phan, LCSW 9201 Montgomery Blvd Ne Ste A, Albuquerque, NM 87111-2468 Ph: (505) 702-9080 |
Mrs. Jeniffer Lynn Lang, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2530 Virginia St Ne Ste 400, Albuquerque, NM 87110 Phone: 505-291-6314 | |
Ms. Danelle W Marshall, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 707 Broadway Blvd Ne Ste 500, Albuquerque, NM 87102 Phone: 505-268-0701 Fax: 270-689-6677 | |
Mariah Vasquez, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1709 Moon St Ne, Albuquerque, NM 87112 Phone: 505-271-0329 | |
Anna Marie Gonzales, LMSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1709 Moon St Ne, Albuquerque, NM 87112 Phone: 505-271-0329 | |
Lyric Lawson-parks, Clinical Social Worker Medicare: May Accept Medicare Assignments Practice Location: 707 Broadway Blvd Ne, Albuquerque, NM 87102 Phone: 505-268-0701 Fax: 270-689-6677 | |
Samuel Hufnagel, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 500 4th St Nw Ste 102, Albuquerque, NM 87102 Phone: 505-705-9636 | |
Bintou Demba, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5203 Juan Tabo Blvd Ne, Albuquerque, NM 87111 Phone: 505-550-1011 |