Phoenix Nien Tran, M.S.W.
Individual provider Active NPI Social Worker · Fountain Valley, CA
NPI 1104137918 · NPPES record last updated Jun 25, 2010
Key facts
- NPI
- 1104137918
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- Practice address
- 10101 Slater Ave Ste 241
Fountain Valley, CA 92708-4723 - Phone
- (714) 378-2620
- NPI assigned
- Jun 25, 2010
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| 95Western Youth Services | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | Yes |
Addresses
Primary practice location
10101 Slater Ave Ste 241
Fountain Valley, CA 92708-4723
Mailing address
10101 Slater Ave Ste 241
Fountain Valley, CA 92708-4723
Phone (714) 378-2620
Other providers in Fountain Valley, CA
- Michael Cao Tran
- Michael Khanh Tran
- Minh Hoi Tran
- Ngoc Anh Nguyen Tran
- Nhung Tran
- Quynh Le Ngoc Tran
- Rosa Tran
- Sarah Tran
- Son The Tran
- Spencer Tran
All providers in Fountain Valley, CA · Social Worker in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 25, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.