Individual provider · Type 1 NPI

Khamphady Keovongsa, LICSW

Clinical Social Worker · Arlington, MA

NPI number 1194125625 Active

Practice location

30 Standish Rd
Arlington, MA 02476-7069

Fax (801) 263-4333

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X9455497-3501 (UT)
Clinical Social Worker 1041C0700X9455497-3502 (UT)

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1194125625

Khamphady Keovongsa, LICSW's National Provider Identifier is 1194125625, issued on Sep 3, 2014. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Arlington, MA. The record was last updated on Sep 21, 2023.