Individual provider · Type 1 NPI

Vyvian Phan, LCSW

Clinical Social Worker · Albuquerque, NM

NPI number 1255840575 Active

Practice location

9201 Montgomery Blvd NE Ste A
Albuquerque, NM 87111-2468

Call (505) 702-9080 Map

Mailing address

1855 Smarty Jones St SE
Albuquerque, NM 87123-2398

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XSWB-2023-0980 (NM)
Clinical Social Worker 1041C0700X115372 (TX)

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 1255840575

Vyvian Phan, LCSW's National Provider Identifier is 1255840575, issued on Sep 29, 2017. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Albuquerque, NM. The record was last updated on Jun 20, 2026.