Corrine Thanh Ngoc Phan, LCSW is a
Social Worker based in San Diego, California. Corrine Thanh Ngoc Phan is licensed to practice in California (license number 100441) and her current practice location is
995 Gateway Center Way, Suite 300, San Diego, California. She can be reached at her office (for appointments etc.) via phone at
(619) 398-2156.
NPI number for Corrine Thanh Ngoc Phan is 1003269051 and her current mailing address is 995 Gateway Center Way, Suite 300, San Diego, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1003269051.
Healthcare Provider's Profile
| Full Name | Corrine Thanh Ngoc Phan |
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| Gender | Female |
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| Speciality | Social Worker |
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| Location | 995 Gateway Center Way, San Diego, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1003269051
- Provider Enumeration Date: 07/14/2016
- Last Update Date: 10/21/2021
Medical Identifiers
Medical identifiers for Corrine Thanh Ngoc Phan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1003269051 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 101YM0800X | Counselor - Mental Health | 83594 (California) | Secondary |
| 104100000X | Social Worker | 100441 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Corrine Thanh Ngoc Phan is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Corrine Thanh Ngoc Phan, LCSW 995 Gateway Center Way, Suite 300, San Diego, CA 92102 Ph: (619) 398-2156 | Corrine Thanh Ngoc Phan, LCSW 995 Gateway Center Way, Suite 300, San Diego, CA 92102-4500 Ph: (619) 398-2156 |
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