THU MY PHAN (NPI# 1235750498) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235750498 |
| Entity Type | Individual |
| Full Name | THU MY PHAN |
| Credential | LCSW |
| Practice Address |
47825 Oasis St Indio CA 92201-6950 |
| Practice Telephone | 7608638145 |
| Mailing Telephone | 7608638145 |
| Enumeration Date | 2020-04-29 |
| Last Update Date | 2020-07-21 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1041C0700X |
Social Worker Specialization: Clinical |
LCSW-4466 | HI | Behavioral Health & Social Service Providers |
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
88715 | CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679172142 | Thu Ai Phan | Optometrist | 1909 W Malvern Ave, Fullerton, CA 92833-2177 | 2020-10-25 |
| 1245779016 | Thu Phan | Registered Nurse | 9333 Imperial Hwy, Downey, CA 90242-2812 | 2017-02-14 |
| 1487043261 | Thu Phan | Pharmacist | 40101 Monterey Ave, Rancho Mirage, CA 92270-3261 | 2015-01-15 |
| 1942594114 | Thu Hoang Phan | Pharmacist | 6215 Santa Teresa Blvd, San Jose, CA 95119-1436 | 2011-06-06 |
| Street Address |
47825 OASIS ST |
| City | INDIO |
| State | CA |
| Zip Code | 92201-6950 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346262672 | Alisa Huntington | Public Health or Welfare | 47825 Oasis St, Indio, CA 92201-6950 | 2006-07-24 |
| 1497360192 | Mara Moreno | Peer Specialist | 47825 Oasis St, Indio, CA 92201-6950 | 2020-09-10 |
| 1710512793 | Anel N Diaz | Peer Specialist | 47825 Oasis St, Indio, CA 92201-6950 | 2020-03-10 |
| 1689210650 | Brianna Lynn Parrish-perez | Licensed Vocational Nurse | 47825 Oasis St, Indio, CA 92201-6950 | 2019-11-25 |
| 1174169148 | Rob James Lara | Peer Specialist | 47825 Oasis St, Indio, CA 92201-6950 | 2019-11-25 |
| 1215573449 | Aneeka Marie Zerkle | Marriage & Family Therapist | 47825 Oasis St, Indio, CA 92201-6950 | 2019-11-22 |
| 1669014155 | Gerardo L Cossio | Case Manager/Care Coordinator | 47825 Oasis St, Indio, CA 92201-6950 | 2019-10-16 |
| 1033769963 | Lorena Simo Molina | Peer Specialist | 47825 Oasis St, Indio, CA 92201-6950 | 2019-09-12 |
| 1992352603 | Jaleesa Sims | Licensed Vocational Nurse | 47825 Oasis St, Indio, CA 92201-6950 | 2019-08-19 |
| 1134782444 | Erika Munoz | Peer Specialist | 47825 Oasis St, Indio, CA 92201-6950 | 2019-04-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174151534 | Kayla Marie Berry | Licensed Vocational Nurse | Telecare Riverside County Psychiatric Health Facility, Indio, CA 92201 | 2020-03-31 |
| 1699327353 | Nawar Hadid | Dentist | 81735 Ca-111, Indio, CA 92201 | 2019-07-12 |
| 1427521889 | Thanh Trang Thi Nguyen Md Inc | Internal Medicine | 44100 Jefferson St., #e507, Indio, CA 92201 | 2019-01-09 |
| 1306328315 | Grant Nishimura | Dentist | 81-637, Suite 1, Ca-111, Indio, CA 92201 | 2018-09-06 |
| 1700363645 | Desert Physical Medicine | General Practice | 81765 Highway 111, Ste #3, Indio, CA 92201 | 2018-07-24 |
| 1336668151 | U & I Care Medical Transportation LLC | Non-emergency Medical Transport (VAN) | 44105 Jackson St Ste 204, Indio, CA 92201 | 2017-09-13 |
| 1154847234 | Myung Kee Park | Dentist | 81106 Ca-111, #c, Indio, CA 92201 | 2017-08-21 |
| 1912434937 | Mirage Home Health | Home Health | 82691 Miles Ave, Indio, CA 92201 | 2017-05-22 |
| 1497294821 | Orthopedic and Physical Medicine Associates Inc | Chiropractor | 81765 Hwy 111, #3, Indio, CA 92201 | 2017-02-17 |
| 1497103758 | Timothy Smith | Contractor | 81337 Avenida Romero, Indio, CA 92201 | 2016-05-27 |
| Find all providers in zip 92201 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| 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 interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518489855 | Angelica Paola Beltran | Social Worker | 46900 Monroe St Ste A102, Indio, CA 92201-4828 | 2017-07-07 |
| 1164964037 | Diane Wagman | Social Worker | 81268 Avenida Tres Lagunas, Indio, CA 92203-7546 | 2016-11-09 |
| 1699170597 | Amy Stone | Social Worker | 81709 Dr Carreon Blvd # B-1d1, Indio, CA 92201-5509 | 2014-11-04 |
| 1164779377 | Lae Family Counseling Services, Inc. | Social Worker | 45080 Golf Center Parkway, Suite H, Indio, CA 92201 | 2012-08-07 |
| 1477828655 | Carole Sussman | Social Worker | 81622 Avenida Santiago, Indio, CA 92203-7726 | 2012-03-20 |
| 1366581233 | Family Services of The Desert | Social Worker | 81709 Dr. Carreon Blvd., Ste D-1, Indio, CA 92201 | 2007-02-06 |
| 1306901152 | Alejandro Alfredo Reyes | Social Worker | 46900 Monroe St Ste 101, Indio, CA 92201-4828 | 2006-12-22 |
| 1790879419 | Rebecca Ruth Stiltz | Social Worker | 47-825 Oasis St., Indio, CA 92201 | 2006-10-03 |
| 1720189392 | Maria Carlota Maduena | Social Worker | 47825 Oasis St., Indio, CA 92201 | 2006-09-26 |
| 1396840443 | Deborah W. Stone | Social Worker | 80838 Camino Santa Juliana, Indio, CA 92203-7474 | 2006-09-13 |
| Find all providers in INDIO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.