Individual provider Active NPI

My Phan Ngan Neuman, LCSW

  • Social Worker
  • Leominster, MA
National Provider Identifier
1447684352
Registry record updated Mar 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
218859 Issued in MA
Practice address
40 Spruce St
Leominster, MA 01453-3361
Phone
(978) 534-6116
NPI assigned
Aug 27, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 27, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 218859 MA Primary

Addresses

Primary practice location

40 Spruce St
Leominster, MA 01453-3361

Mailing address

40 Spruce St
Leominster, MA 01453-3361
Phone (978) 534-6116

Other names 1

  • Mephon N Neuman Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20230530002287 MA Practitioner - Clinical Social Worker 0648637033 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
218859MAMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
My Mental Health Matters Psychiatric Services LLC CurrentSince Apr 20, 2023 Accepting new patients

Locations

400 Tradecenter
Ste 5900
Woburn, MA 01801
Phone (617) 468-1115

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1377561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459036800000",
    "number": "1447684352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 SPRUCE ST",
            "city": "LEOMINSTER",
            "state": "MA",
            "postal_code": "014533361",
            "telephone_number": "978-534-6116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 SPRUCE ST",
            "city": "LEOMINSTER",
            "state": "MA",
            "postal_code": "014533361",
            "telephone_number": "978-534-6116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEUMAN",
        "first_name": "MY PHAN",
        "middle_name": "NGAN",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-08-27",
        "last_updated": "2016-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MA",
            "license": "218859",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MEPHON",
            "last_name": "NEUMAN",
            "middle_name": "N",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Leominster, MA

Sources for this page

Verify at the official NPI Registry.