MR. KEVIN PANYANOUVONG LCSW
NPI 1033245857
Social Worker - Clinical in Modesto, CA

Active since February 26, 2007
800 SCENIC DR, MODESTO, CA 95350(209) 525-6225(209) 558-4326 Get Directions Write a Review

NPPES record last updated: December 20, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mr. Kevin Panyanouvong Lcsw NPPES

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

MR. KEVIN PANYANOUVONG LCSW (NPI 1033245857) is an individual clinical provider in Modesto, California, licensed in California (25999) and active in the NPI registry since February 2007.

NPPES Registry Identity

NPI1033245857
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMR. KEVIN PANYANOUVONGCredential: LCSW
Location Address800 SCENIC DRModesto, CA 95350-6131
Mailing Address800 Scenic DrModesto, CA 95350-6131 · (209) 525-6225 · Fax (209) 558-4326
Fax(209) 558-4326
Sole ProprietorYes
Enumeration DateFebruary 26, 2007
Last NPPES UpdateDecember 20, 2021
NPPES CertifiedDecember 20, 2021
NPI 1033245857 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in CA · 25999
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X
800 SCENIC DR, Modesto, CA 95350

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Registered Nurse (Psychiatric/Mental Health, Child & Adolescent)
800 SCENIC DR
MODESTO, CA 95350
Case Manager/Care Coordinator
800 SCENIC DR
MODESTO, CA 95350
Marriage & Family Therapist
800 SCENIC DR
MODESTO, CA 95350
Community/Behavioral Health
800 SCENIC DR
MODESTO, CA 95350
Counselor (Professional)
800 SCENIC DR
MODESTO, CA 95350
Community/Behavioral Health
800 SCENIC DR
MODESTO, CA 95350
Marriage & Family Therapist
800 SCENIC DR, BLDG 4
MODESTO, CA 95350
Peer Specialist
800 SCENIC DR
MODESTO, CA 95350

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 Kevin Panyanouvong's NPI number?

The NPI number for Kevin Panyanouvong is 1033245857. It was assigned to this individual provider in the NPPES registry on February 26, 2007.

Where is Kevin Panyanouvong located?

Kevin Panyanouvong practices at 800 Scenic Dr, Modesto, CA 95350. The listed phone number is (209) 525-6225.

What is Kevin Panyanouvong's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Kevin Panyanouvong was last updated on December 20, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.