Individual provider Active NPI

Thuan Thi Nguyen, LCSW

  • Clinical Social Worker
  • Palm Springs, CA
National Provider Identifier
1285123133
Registry record updated Oct 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW17696 Issued in CA
Practice address
1133 N Palm Canyon Dr Ste a
Palm Springs, CA 92262-4431
Phone
(760) 818-0505
NPI assigned
May 7, 2018
Last updated
Oct 17, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 17, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X LCSW17696 CA Primary

Addresses

Primary practice location

1133 N Palm Canyon Dr Ste a
Palm Springs, CA 92262-4431

Mailing address

4837 S Winners Cir Apt F
Palm Springs, CA 92264-5882
Phone (310) 456-4578

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240624000744 CA Practitioner - Clinical Social Worker 4688117294

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCSW17696CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Moeller-Bertram Medical Corporation Single Specialty CurrentSince May 1, 2025 Accepting new patients
Tobias Moeller-Bertram MD Corporation CurrentSince Jun 3, 2024 Accepting new patients
Tobias Moeller-Bertram MD Corporation Single Specialty CurrentSince Jun 3, 2024 Accepting new patients
San Gorgonio Memorial Hospital Past Accepting new patients

Locations

81812 Doctor Carreon Blvd
Ste D
Indio, CA 92201
Phone (760) 347-7676

44630 Monterey Ave
Ste 100
Palm Desert, CA 92260
Phone (760) 340-4290

1117 N Palm Canyon Dr
Palm Springs, CA 92262
Phone (760) 318-0505

1133 N Palm Canyon Dr
Ste A
Palm Springs, CA 92262
Phone (760) 320-2200

36101 Bob Hope Dr
Ste A
Rancho Mirage, CA 92270
Phone (760) 321-1315

36101 Bob Hope Dr
Ste A1
Rancho Mirage, CA 92270
Phone (760) 321-1315

12830 Hesperia Rd
Ste Ad
Victorville, CA 92395
Phone (760) 684-8999

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1525651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729123200000",
    "number": "1285123133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4837 S WINNERS CIR APT F",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "922645882",
            "telephone_number": "310-456-4578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1133 N PALM CANYON DR STE A",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "922624431",
            "telephone_number": "760-818-0505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "THUAN",
        "middle_name": "THI",
        "name_prefix": "Dr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-05-07",
        "last_updated": "2024-10-17",
        "certification_date": "2024-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCSW17696",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Springs, CA

Sources for this page

Verify at the official NPI Registry.