Active NPI
Nhut Minh Phan, PMSW
- Clinical Social Worker
- Albuquerque, NM
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- SWB-2023-1287
- Practice address
- 4004 Carlisle Blvd NE Ste B
Albuquerque, NM 87107-4566 - Phone
- (505) 585-5024
- NPI assigned
- Aug 6, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | SWB-2023-1287 | NM | Primary |
Addresses
Primary practice location
4004 Carlisle Blvd NE Ste B
Albuquerque, NM 87107-4566
Mailing address
1831 Cooke Canyon Dr NW
Albuquerque, NM 87120-6271
Phone (505) 550-3900
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NM
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240105001341 | NM | Practitioner - Clinical Social Worker | 5890146682 | Reassigns benefits to 3 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Phoenix Counseling Services, LLC
Practice addresses (Care Compare)
10401 Montgomery Pkwy NE
Suite 1 K
Albuquerque, NM 87111-3876
Phone (505) 227-7623
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SWB-2022-0892 | NM | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Presbyterian Healthcare Services | Current | Accepting new patients | |
| Presbyterian Healthcare Services | Current | Accepting new patients | |
| Phoenix Counseling Services, LLC | Current | Accepting new patients | |
| Dulcesalado Consultation and Therapeutic Services LLC | Clinical | Current | Accepting new patients |
| Counseling World, LLC | Clinical | Past | Accepting new patients |
Locations
4004 Carlisle Blvd NE
Ste B
Albuquerque, NM 87107
Phone (505) 274-1012
2200 W 21st St
Clovis, NM 88101
Phone (505) 769-7577
1202 Highway 60
Bldg D
Socorro, NM 87801
Phone (575) 838-4690
Organizations & group practices 5
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.
-
- Community/Behavioral Health Agency
- Albuquerque, NM
- NPI 1528798519
Clinical, NM
-
- General Acute Care Hospital
- Albuquerque, NM
- NPI 1215913470
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1533513600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782864000000",
"number": "1992283402",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1831 COOKE CANYON DR NW",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871206271",
"telephone_number": "505-550-3900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4004 CARLISLE BLVD NE STE B",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871074566",
"telephone_number": "505-585-5024"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHAN",
"first_name": "NHUT",
"middle_name": "MINH",
"credential": "PMSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-08-06",
"last_updated": "2026-07-01",
"certification_date": "2026-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NM",
"license": "SWB-2023-1287",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Albuquerque, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2026; 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.