Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Corrine Thanh Ngoc Phan, LCSW

Individual provider Mental Health Counselor · NPI 1003269051

Corrine Thanh Ngoc Phan, LCSW is a Mental Health Counselor in San Diego, California. Licensed in California. Registered with an NPI since 2016.

Licensed in
CA
In the registry since
2016
Specialties on file
2
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

995 Gateway Center Way Ste 300
San Diego, CA 92102-4500
Phone: (619) 398-2156
Fax: (619) 398-2168
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Specialties & licences

Social Worker (primary) Taxonomy 104100000X · Licence 100441 (CA)
Mental Health Counselor Taxonomy 101YM0800X · Licence 83594 (CA)

Record details

NPI number1003269051
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedJuly 14, 2016
Last updated in NPPESOctober 21, 2021
Certification dateOctober 21, 2021

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