Individual provider Active NPI

Nhut Minh Phan, PMSW

  • Clinical Social Worker
  • Albuquerque, NM
National Provider Identifier
1992283402
Registry record updated Jul 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SWB-2023-1287 Issued in NM
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

Updated by the provider on Jul 1, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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, LLCGroup PAC ID 8224558556, 2 clinicians

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

LicenseStateTypeSpecialty
SWB-2022-0892NMMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Presbyterian Healthcare Services CurrentSince Jan 3, 2024 Accepting new patients
Presbyterian Healthcare Services CurrentSince Jan 3, 2024 Accepting new patients
Phoenix Counseling Services, LLC CurrentSince Sep 1, 2025 Accepting new patients
Dulcesalado Consultation and Therapeutic Services LLC Clinical CurrentSince May 23, 2025 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.

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

Verify at the official NPI Registry.