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

Mr. Andrew Keodara Phomthavong, MSW

Individual provider Professional Counselor · NPI 1003110990

Mr. Andrew Keodara Phomthavong, MSW is a Professional Counselor in Lowell, Massachusetts. Practices as a sole proprietor. Registered with an NPI since 2011.

In the registry since
2011
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

298 Walker St
Lowell, MA 01851
Phone: (619) 743-9052
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X

Record details

NPI number1003110990
Entity typeIndividual (Type 1)
GenderMale
Credentials MSW
Sole proprietorYes
NPI enumeratedJanuary 6, 2011
Last updated in NPPESJanuary 6, 2011

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