DAI PHAN (NPI# 1659612174) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659612174 |
| Entity Type | Individual |
| Full Name | DAI PHAN |
| Credential | LCSW |
| Practice Address |
615 N Broad St Elizabeth NJ 07208-3409 |
| Practice Telephone | 9083557886 |
| Practice Fax Number | 9084696520 |
| Mailing Telephone | 9083557886 |
| Mailing Fax Number | 9084696520 |
| Enumeration Date | 2013-03-07 |
| Last Update Date | 2013-03-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
44SL05403600 | NJ | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013934041 | Dai Chinh Phan | Dentist | 1501 San Pedro Dr Se, Albuquerque, NM 87108-5153 | 2006-07-16 |
| Street Address |
615 N BROAD ST |
| City | ELIZABETH |
| State | NJ |
| Zip Code | 07208-3409 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629437728 | Bridgeway Rehabilitation Services | Case Management | 615 N Broad St, Elizabeth, NJ 07208-3409 | 2016-02-17 |
| 1265891360 | Bridgeway Rehabilitation Services | Case Management | 615 N Broad St, Elizabeth, NJ 07208-3409 | 2016-02-17 |
| 1205177532 | Linda A. Rauh | Counselor | 615 N Broad St, Elizabeth, NJ 07208-3409 | 2013-03-12 |
| 1669625539 | Paula Turso | Social Worker | 615 N Broad St, Elizabeth, NJ 07208-3409 | 2008-10-23 |
| 1952420010 | Allison J Doran | Counselor | 615 N Broad St, Elizabeth, NJ 07208-3409 | 2007-03-28 |
| 1639294879 | Bridgeway Rehabilitation Services | Community/Behavioral Health | 615 N Broad St, Elizabeth, NJ 07208-3409 | 2007-03-20 |
| 1184748535 | Bridgeway Rehabilitation Services | Community/Behavioral Health | 615 N Broad St, Elizabeth, NJ 07208-3409 | 2007-03-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225591571 | Real House Inc | Clinic/Center | 419-421 Westminster Ave, Elizabeth, NJ 07208 | 2019-04-12 |
| 1548736531 | Conscientiamd | Psychiatry & Neurology | 650-652 Newark Avenue, 1st Floor, Elizabeth, NJ 07208 | 2018-10-17 |
| 1093292492 | Community Access Unlimited Inc | Community/Behavioral Health | 1470 Lower Road, Ground Floor, Elizabeth, NJ 07208 | 2018-07-27 |
| 1457736092 | Community Access Unlimited Inc | Community/Behavioral Health | 1470 Lower Rd, Elizabeth, NJ 07208 | 2015-07-24 |
| 1811318595 | Terrell N Alston | Social Worker | 644 Salem Ave 2b, Elizabeth, NJ 07208 | 2013-12-23 |
| 1316220759 | Anarita Delacruz | Massage Therapist | 570 North Broad Street, Suite 10, Elizabeth, NJ 07208 | 2011-09-22 |
| 1972820041 | Pain Center of Morris | Chiropractor | 332 Morris Ave., Elizabeth, NJ 07208 | 2010-04-28 |
| 1760696512 | Elizabeth Public Schools | Local Education Agency (LEA) | 27 Prince Street, 2nd. Floor, Elizabeth, NJ 07208 | 2007-05-10 |
| 1437288339 | Kathleen E. Russo | Social Worker | Jewish Family Services, 655 Westfield Ave., Elizabeth, NJ 07208 | 2007-03-05 |
| 1649337171 | Springfield Pediatrics, P.a. | Pediatrics | 435 Elmora Avenue, Elizabeth, NJ 07208 | 2007-01-03 |
| Find all providers in zip 07208 | ||||
| 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 |
|---|---|---|---|---|
| 1700408903 | Trainemotions LLC | Social Worker | 440 Edgar Rd Apt 202, Elizabeth, NJ 07202-3485 | 2020-05-11 |
| 1023639564 | Monica Lee Salermo | Social Worker | 732 Van Buren Ave, Elizabeth, NJ 07201-1627 | 2020-05-06 |
| 1578024261 | Carmen Hernandez | Social Worker | 655 Pulaski St, Elizabeth, NJ 07202-2744 | 2019-03-26 |
| 1407345507 | Rikki Ashlee Zahler | Social Worker | 750 N Broad St Apt 9h, Elizabeth, NJ 07208-2426 | 2018-05-03 |
| 1912447509 | Idleness Eliminators | Social Worker | 826 Westfield Ave, Suite 1, Elizabeth, NJ 07208-1225 | 2017-03-01 |
| 1740730365 | Barbara Yaneth Mosquera | Social Worker | 749 N Broad St, 105, Elizabeth, NJ 07208-2465 | 2016-10-06 |
| 1003261330 | Temry Jenks | Social Worker | 40495 County Road 13, Elizabeth, CO 80107-8904 | 2016-04-23 |
| 1568826220 | Allen Herman | Social Worker | 939 Harding Rd, Elizabeth, NJ 07208-1013 | 2016-04-08 |
| 1982068730 | Mauricio Cuervo Bautista | Social Worker | 1206 Mary St, Elizabeth, NJ 07201-1025 | 2016-04-07 |
| 1639565278 | Shaniqua J Bradley | Social Worker | 1042 Grove St Fl 2, Elizabeth, NJ 07202-2440 | 2015-04-10 |
| Find all providers in ELIZABETH | ||||
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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.