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

Quang Pho

Individual provider Clinical Social Worker · NPI 1417436585

Quang Pho is a Clinical Social Worker in Somerville, Massachusetts. Qualified in 2019, 7 years ago. Practices with Brookline Community Mental Health Center Inc, a 28-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Massachusetts.

Years since qualifying
7
Licensed in
MA
In the registry since
2018
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Practice location Address checks out

74 Florence St Apt 2
Somerville, MA 02145-3430
Phone: (857) 626-6936
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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 LICSW127903 (MA)

Record details

NPI number1417436585
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 9, 2018
Last updated in NPPESJuly 22, 2024
Certification dateJuly 22, 2024
Mailing address320 Broadway Unit 45521, Somerville, MA 02145-4522

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Brookline Community Mental Health Center Inc — 28 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Somerville