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

Individual provider Mental Health Counselor · NPI 1104550482

Maisy Lee Phravoraxay, MSW is a Clinical Social Worker in Clearwater, Florida. Qualified in 2020, 6 years ago. Practices with West Side Community Health Services, Inc, a 51-clinician group and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
6
Licensed in
MN
In the registry since
2022
What do these letters mean?
MSW — Master of Social Work
The graduate degree in social work.

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Practice location Address checks out

2188 58th St N
Clearwater, FL 33760-3112
Phone: (727) 327-7656
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 29219 (MN)

Record details

NPI number1104550482
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSW
Sole proprietorYes
NPI enumeratedJuly 13, 2022
Last updated in NPPESAugust 1, 2022
Certification dateAugust 1, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice West Side Community Health Services, Inc. — 51 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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