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

Phouangboupha Sinouanthavysouk

Individual provider Clinical Social Worker · NPI 1083450001

Phouangboupha Sinouanthavysouk is a Clinical Social Worker in Lexington, North Carolina. Licensed in North Carolina. Registered with an NPI since 2024.

Licensed in
NC
In the registry since
2024

Practice location Address checks out

1303 Greensboro Street Ext
Lexington, NC 27295-1924
Phone: (336) 249-0237
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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 P020870 (NC)

Record details

NPI number1083450001
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 9, 2024
Last updated in NPPESJuly 9, 2024
Certification dateJuly 8, 2024
Mailing address1303 Greensboro Street Ext, Lexington, NC 27295-1924

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