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

Mr. Santi Y Soumpholphakdy, LCSW

Individual provider Social Worker · NPI 1174663488

Mr. Santi Y Soumpholphakdy, LCSW is a Social Worker in San Leandro, California. Licensed in California. Registered with an NPI since 2007.

Licensed in
CA
In the registry since
2007
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

545 Estudillo Ave
San Leandro, CA 94577-4611
Phone: (510) 352-9200
Fax: (510) 352-3120
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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 26030 (CA)
Clinical Social Worker Taxonomy 1041C0700X · Licence 26030 (CA)

Record details

NPI number1174663488
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorNo
NPI enumeratedFebruary 7, 2007
Last updated in NPPESSeptember 24, 2012

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