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

Individual provider Clinical Social Worker · NPI 1255840575

Vyvian Phan, LCSW is a Clinical Social Worker in Albuquerque, New Mexico. Qualified in 2020, 6 years ago. Accepts Medicare assignment. Licensed in New Mexico and Texas.

Years since qualifying
6
Licensed in
NM, TX
In the registry since
2017
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

9201 Montgomery Blvd NE Ste A
Albuquerque, NM 87111-2468
Phone: (505) 702-9080
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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 SWB-2023-0980 (NM)
Clinical Social Worker Taxonomy 1041C0700X · Licence 115372 (TX)

Record details

NPI number1255840575
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedSeptember 29, 2017
Last updated in NPPESJune 20, 2026
Certification dateJune 20, 2026

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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