Linda Phanthavong, LICSW
NPI 1508747791 · Clinical Social Worker · New Hope, MN
Enrolled with Medicare as Practitioner - Clinical Social Worker · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Linda Phanthavong, LICSW is a Clinical Social Worker provider in New Hope, MN (NPI 1508747791).
Provider details
- NPI number
- 1508747791
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- LICSW
- Sex
- Female
- Sole proprietor
- Yes
- License
- 31962 (MN)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
Mailing address
Additional practice locations (1)
- 6400 74th Ave NBrooklyn Park, MN 55428-1420Phone: (612) 816-9369
Registry dates
- Enumerated
- 2025-09-12
- Last updated
- 2025-10-17
- Certified
- 2025-10-17
Frequently asked questions
- What is Linda Phanthavong's NPI number?
- Linda Phanthavong's National Provider Identifier (NPI) is 1508747791, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Linda Phanthavong's specialty?
- Linda Phanthavong is listed in the NPPES registry with a primary specialty of Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Linda Phanthavong located?
- Linda Phanthavong's practice location on file with NPPES is 5555 Boone Ave N, New Hope, MN 55428-3636.
- What is Linda Phanthavong's phone number?
- The practice phone number listed in the NPPES registry for Linda Phanthavong is (651) 774-0011.
- Does Linda Phanthavong accept Medicare?
- Linda Phanthavong is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Linda Phanthavong's NPI active?
- Yes — Linda Phanthavong's NPI (1508747791) is active in the NPPES registry as of the last update on 2025-10-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.