Individual provider · Type 1 NPI

Phaly Khoun, LCSW

Clinical Social Worker · Fresno, CA

NPI number 1225425903 Active

Practice location

1925 E Dakota Ave
Fresno, CA 93726-4821

Call (559) 252-2042 Map

Mailing address

PO Box 7753
Fresno, CA 93747-7753

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker 1041C0700XASW65268 (CA)
Clinical Social Worker Primary 1041C0700XLCSW80835 (CA)

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 1225425903

Phaly Khoun, LCSW's National Provider Identifier is 1225425903, issued on Apr 21, 2015. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Fresno, CA. The record was last updated on Jan 4, 2025.