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

Individual provider Clinical Social Worker · NPI 1497377931

Michelle Phung, LCSW is a Clinical Social Worker in Longmont, Colorado. Practices as a sole proprietor. Licensed in Colorado.

Licensed in
CO
In the registry since
2020
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

5712 Mount Sanitas Ave
Longmont, CO 80503-7360
Phone: (508) 345-8359
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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 09926588 (CO)

Record details

NPI number1497377931
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedMay 6, 2020
Last updated in NPPESMay 6, 2020
Certification dateMay 6, 2020

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