Soukthanome Thammavong, LICSW
Soukthanome Thammavong, LICSW is a Clinical Social Worker in Columbia Heights, Minnesota. Qualified in 2008, 18 years ago. Works from 2 locations and accepts Medicare assignment.
- Years since qualifying
- 18
- In the registry since
- 2019
What do these letters mean?
- LICSW — Licensed Independent Clinical Social Worker
- The title some states use for an independently practising clinical social worker.
Practice location Address checks out
4111 Central Ave NE Ste 201Columbia Heights, MN 55421-2960
Phone: (763) 283-7194
Fax: (612) 437-4535
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (1)
- 2001 Bloomington Ave, Minneapolis, MN 55404-3074 — (612) 249-0941
Specialties & licences
| Clinical Social Worker (primary) | Taxonomy 1041C0700X |
|---|
Record details
| NPI number | 1164986246 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | LICSW |
| Sole proprietor | No |
| NPI enumerated | January 23, 2019 |
| Last updated in NPPES | April 25, 2019 |
Medicare enrollment
| Medicare specialty | CLINICAL SOCIAL WORKER |
|---|---|
| Medical school | OTHER |
| Graduated | 2008 (18 years in practice) |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Other providers in Columbia Heights
-
Nabiha Abubakar Ali
4852 Grandview Ct NE, Columbia Heights, MN 55421-4637 · (507) 573-1039
-
Erin Nicole Buller, LICSW
825 41st Ave NE, Columbia Heights, MN 55421-2910 · (763) 706-8125
-
Maria Hughes
4301 Tyler St NE, Columbia Heights, MN 55421-3244 · (651) 226-8284
-
Kimberly Marquez, LICSW
4070 Maureen Dr NE Unit 103, Columbia Heights, MN 55421-4710 · (612) 940-1058