Phonemany Thongkham, LCSW, CCTP II

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

10650-C Issued in NV

Practice address

9472 Milkweed Canyon Ave
Las Vegas, NV 89166

Phone

(702) 582-9235

NPI assigned

Jul 16, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NV

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

Specialty

Clinical Social Worker

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Theravada Mental Health LLCGroup PAC ID 6608122882, 15 clinicians

LBR Mental Health PLLCGroup PAC ID 4284167032, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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

• LBR Mental Health PLLC

  • Specialist
  • Las Vegas, NV
  • NPI 1922862226

  Clinical

  Medicare reassignment Care Compare group NPD
• Theravada Mental Health LLC

  • Community/Behavioral Health Agency
  • Las Vegas, NV
  • NPI 1114414109

  Clinical

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1342396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697587200000",
    "number": "1376898486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9472 MILKWEED CANYON AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89166",
            "telephone_number": "702-582-9235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9472 MILKWEED CANYON AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89166",
            "telephone_number": "702-582-9235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THONGKHAM",
        "first_name": "PHONEMANY",
        "credential": "LCSW, CCTP II",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-07-16",
        "last_updated": "2023-10-18",
        "certification_date": "2023-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NV",
            "license": "10650-C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria Thondike
• Thong H Nguyen, DDS Inc.
• Thong H. Nguyen, DDS Inc.
• Kim Marie Thongdy, BC-FNP
• Tavi Thongdy, MD
• Thor Mongie D C LTD
• Kara Thormodsgaard
• Nickel Thornberry
• Denise R Thornburg, APN
• Henry Thorns II

• Clinical Social Worker in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Clinical Social Worker in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.