1. Home
  2. Directory
  3. Massachusetts
  4. Lowell
  5. Counselor
  6. NPI Profile

MR. ANDREW KEODARA PHOMTHAVONG MSW
NPI 1003110990
Counselor - Professional in Lowell, MA

Active since January 06, 2011
298 WALKER STREET, LOWELL, MA 01851(619) 743-9052 Get Directions Write a Review

NPPES record last updated: January 6, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mr. Andrew Keodara Phomthavong Msw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. ANDREW KEODARA PHOMTHAVONG MSW (NPI 1003110990) is an individual professional provider in Lowell, Massachusetts and active in the NPI registry since January 2011.

NPPES Registry Identity

NPI1003110990
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameMR. ANDREW KEODARA PHOMTHAVONGCredential: MSW
Location Address298 WALKER STREETLowell, MA 01851
Mailing Address298 Walker StLowell, MA 01851-1848 · (619) 743-9052
Phone(619) 743-9052
Sole ProprietorYes
Enumeration DateJanuary 6, 2011
✔ NPI 1003110990 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
298 WALKER STREET, Lowell, MA 01851
Open in Google Maps ↗

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Andrew Phomthavong's NPI number?

The NPI number for Andrew Phomthavong is 1003110990. It was assigned to this individual provider in the NPPES registry on January 6, 2011.

Where is Andrew Phomthavong located?

Andrew Phomthavong practices at 298 Walker Street, Lowell, MA 01851. The listed phone number is (619) 743-9052.

What is Andrew Phomthavong's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Andrew Phomthavong was last updated on January 6, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.