VANNA PHROMMAVANH LCSW
NPI 1023135795
Social Worker - School in Providence, RI

Active since March 26, 2007PECOS Enrolled
530 NORTH MAIN STREET, THE PROVIDENCE CENTER, PROVIDENCE, RI 02904(401) 274-2500 Get Directions Write a Review

NPPES record last updated: May 4, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: May 4, 2026, Oct 12, 2022 (2 updates tracked since 2022).

About Vanna Phrommavanh Lcsw NPPES

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

VANNA PHROMMAVANH LCSW (NPI 1023135795) is an individual school provider in Providence, Rhode Island, licensed in Rhode Island (CSW02891) and active in the NPI registry since March 2007. She is enrolled in Medicare PECOS and maintains a secondary practice location in Providence.

NPPES Registry Identity

NPI1023135795
Entity TypeIndividualFemale
Primary Taxonomy1041S0200X
Provider Legal NameVANNA PHROMMAVANHCredential: LCSW
Location Address530 NORTH MAIN STREET, THE PROVIDENCE CENTERProvidence, RI 02904
Mailing Address528 N Main StProvidence, RI 02904-5757
Sole ProprietorNo
Enumeration DateMarch 26, 2007
Last NPPES UpdateMay 4, 20262 updates tracked since enumeration
NPPES CertifiedMay 4, 2026
NPI 1023135795 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · SchoolBehavioral Health & Social Service Providers
Taxonomy Code1041S0200X
License Licensed in RI · CSW02891
530 NORTH MAIN STREET, Providence, RI 02904

Secondary Practice Location 1

Location 1520 Hope StProvidence, RI 02906-2532 · Phone (401) 276-4000

Other Identifiers 2

Other1104847946RI · The Providence Center Npi
Other1023135795RI · Ubh

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Vanna Phrommavanh Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location


The following 6 providers are registered at the same or a nearby location.

Registered Nurse
530 NORTH MAIN STREET
PROVIDENCE, RI 02904
Registered Nurse
530 NORTH MAIN STREET, THE PROVIDENCE CENTER
PROVIDENCE, RI 02904
Counselor
530 NORTH MAIN STREET, THE PROVIDENCE CENTER
PROVIDENCE, RI 02904
Counselor
530 NORTH MAIN STREET
PROVIDENCE, RI 02904
Registered Nurse
530 NORTH MAIN STREET, E & D
PROVIDENCE, RI 02904
Registered Nurse (Psychiatric/Mental Health)
530 NORTH MAIN STREET, SAME
PROVIDENCE, RI 02904

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1023135795, enumerated as an "individual" on March 26, 2007.

The provider is located at 530 NORTH MAIN STREET THE PROVIDENCE CENTER PROVIDENCE, RI 02904 and the phone number is (401) 274-2500.

Social Worker with taxonomy code 1041S0200X and a focus in School.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.