Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Amanda Pang Foua Moua, LICSW

Individual provider Clinical Social Worker · NPI 1407341837

Amanda Pang Foua Moua, LICSW is a Clinical Social Worker in Minneapolis, Minnesota. Licensed in Minnesota. Registered with an NPI since 2018.

Licensed in
MN
In the registry since
2018
What do these letters mean?
LICSW — Licensed Independent Clinical Social Worker
The title some states use for an independently practising clinical social worker.

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Practice location Address checks out

1501 Xerxes Ave N
Minneapolis, MN 55411-2851
Phone: (612) 977-3236
Fax: (612) 521-3893
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 4152565 (MN)

Record details

NPI number1407341837
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorNo
NPI enumeratedJune 27, 2018
Last updated in NPPESJuly 10, 2018

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