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

Viengkeo Chanthaloth- Phasouk, LCSW

Individual provider Counselor · NPI 1366920811

Viengkeo Chanthaloth- Phasouk, LCSW is a Clinical Social Worker in Rockford, Illinois. Qualified in 2014, 12 years ago. Practices with Aspen Counseling and Consulting LLC, a 13-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Illinois.

Years since qualifying
12
Licensed in
IL
In the registry since
2018
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

2704 N Main St
Rockford, IL 61103-3112
Phone: (815) 391-1000
Fax: (815) 815-7204
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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 149.022418 (IL)
Counselor Taxonomy 101Y00000X

Record details

NPI number1366920811
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedAugust 6, 2018
Last updated in NPPESAugust 13, 2020
Certification dateAugust 13, 2020

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Aspen Counseling And Consulting Llc — 13 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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