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Sidaphone Phovixay, ASW61745
NPI 1083747562 · Social Worker · Stockton, CA
Sidaphone Phovixay, ASW61745 is a Social Worker provider in Stockton, CA (NPI 1083747562).
Provider details
- NPI number
- 1083747562
- Entity type
- Individual
- Primary specialty
- Social WorkerBehavioral Health & Social Service Providers
- Credential
- ASW61745
- Sex
- Female
- Sole proprietor
- Yes
- License
- ASW61745 (CA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2495 W March Ln
Stockton, CA 95207-8251
Phone: (209) 465-1080
Street-level locationGet directions
Mailing address
2495 W March Ln
Stockton, CA 95207-8251
Registry dates
- Enumerated
- 2007-03-13
- Last updated
- 2015-03-03
Frequently asked questions
- What is Sidaphone Phovixay's NPI number?
- Sidaphone Phovixay's National Provider Identifier (NPI) is 1083747562, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Sidaphone Phovixay's specialty?
- Sidaphone Phovixay is listed in the NPPES registry with a primary specialty of Social Worker (Behavioral Health & Social Service Providers).
- Where is Sidaphone Phovixay located?
- Sidaphone Phovixay's practice location on file with NPPES is 2495 W March Ln, Stockton, CA 95207-8251.
- What is Sidaphone Phovixay's phone number?
- The practice phone number listed in the NPPES registry for Sidaphone Phovixay is (209) 465-1080.
- Is Sidaphone Phovixay's NPI active?
- Yes — Sidaphone Phovixay's NPI (1083747562) is active in the NPPES registry as of the last update on 2015-03-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.