Individual provider · Type 1 NPI

Linda Nang Phanthavong, LICSW

Clinical Social Worker · New Hope, MN

NPI number 1508747791 Active

Practice location

5555 Boone Ave N
New Hope, MN 55428-3636

Call (651) 774-0011 Map

Fax (651) 774-0606

Other practice locations

  • 6400 74th Ave N, Brooklyn Park, MN 55428-1420 · (612) 816-9369

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X31962 (MN)

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 1508747791

Linda Nang Phanthavong, LICSW's National Provider Identifier is 1508747791, issued on Sep 12, 2025. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in New Hope, MN. The record was last updated on Oct 17, 2025.