Soukthanome Thammavong, LICSW
NPI 1164986246 · Clinical Social Worker · Columbia Heights, MN
Enrolled with Medicare as Practitioner - Clinical Social Worker · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Soukthanome Thammavong, LICSW is a Clinical Social Worker provider in Columbia Heights, MN (NPI 1164986246).
Provider details
- NPI number
- 1164986246
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- LICSW
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
7 yrs in NPPES registry
- Profile completeness28% of score
83% of core fields populated
- Practice footprint17% of score
2 documented practice locations
- Medicare service volume (vs. specialty peers)28% of score
11 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. 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.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Psychiatric Diagnostic Evaluation90791 | 11 | $126 |
Typical Medicare-allowed amounts for these services range $126–$126 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
Practice location
Mailing address
Additional practice locations (1)
- 2001 Bloomington AveMinneapolis, MN 55404-3074Phone: (612) 249-0941Fax: (612) 301-1040
Registry dates
- Enumerated
- 2019-01-23
- Last updated
- 2019-04-25
Frequently asked questions
- What is Soukthanome Thammavong's NPI number?
- Soukthanome Thammavong's National Provider Identifier (NPI) is 1164986246, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Soukthanome Thammavong's specialty?
- Soukthanome Thammavong is listed in the NPPES registry with a primary specialty of Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Soukthanome Thammavong located?
- Soukthanome Thammavong's practice location on file with NPPES is 4111 Central Ave Ne Ste 201, Columbia Heights, MN 55421-2960.
- What is Soukthanome Thammavong's phone number?
- The practice phone number listed in the NPPES registry for Soukthanome Thammavong is (763) 283-7194.
- Does Soukthanome Thammavong accept Medicare?
- Soukthanome Thammavong is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Soukthanome Thammavong's NPI active?
- Yes — Soukthanome Thammavong's NPI (1164986246) is active in the NPPES registry as of the last update on 2019-04-25.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.