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

Dieumy Phan, LICSW

Individual provider Social Worker · NPI 1073098141

Dieumy Phan, LICSW is a Social Worker in Boston, Massachusetts. Practices as a sole proprietor. Licensed in Massachusetts.

Licensed in
MA
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

300 The Fenway
Boston, MA 02115-5820
Phone: (617) 521-3943
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Social Worker (primary) Taxonomy 104100000X · Licence 116947 (MA)

Record details

NPI number1073098141
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorYes
NPI enumeratedSeptember 25, 2018
Last updated in NPPESSeptember 25, 2018
Mailing address25 Mount Vernon St # 1, Dorchester, MA 02125-1604

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