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THEODORE PHAN
NPI 1154783736
Social Worker - Clinical in Orange, CA

Active since March 23, 2016
4000 W METROPOLITAN DR, ORANGE, CA 92868(866) 830-6011 Get Directions Write a Review

NPPES record last updated: January 6, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 6, 2021, Aug 10, 2020, Feb 10, 2020 and 1 more (4 updates tracked since 2016).

About Theodore Phan NPPES

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

THEODORE PHAN (NPI 1154783736) is an individual clinical provider in Orange, California, licensed in California (95767) and active in the NPI registry since March 2016.

NPPES Registry Identity

NPI1154783736
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameTHEODORE PHAN
Location Address4000 W METROPOLITAN DROrange, CA 92868-3504
Mailing Address6100 Chip AveCypress, CA 90630-5212
Phone(866) 830-6011
Sole ProprietorNo
Enumeration DateMarch 23, 2016
Last NPPES UpdateJanuary 6, 20214 updates tracked since enumeration
NPPES CertifiedJanuary 6, 2021
✔ NPI 1154783736 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in CA · 95767
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.
4000 W METROPOLITAN DR, Orange, CA 92868
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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.

JOSEPHINE MUELLER ELLIS
Student in an Organized Health Care Education/Training Program
4000 W METROPOLITAN DR
ORANGE, CA 92868
Orange County (714) 972-3700
MRS. MARGARET ANNE PETERSON CAODC
Rehabilitation Practitioner
4000 W METROPOLITAN DR
ORANGE, CA 92868
Orange County (866) 830-6011
KATELIN NICOLE RENCH
Student in an Organized Health Care Education/Training Program
4000 W METROPOLITAN DR
ORANGE, CA 92868
Orange County (714) 972-3700
MRS. LESLIE ANN RANKIN LCSW
Social Worker (Clinical)
4000 W METROPOLITAN DR
ORANGE, CA 92868
Orange County (866) 830-6011
MS. FATIHA SHANNON MFTI
Marriage & Family Therapist
4000 W METROPOLITAN DR
ORANGE, CA 92868
Orange County (714) 972-3700
LAURYN TAYLOR
Rehabilitation Practitioner
4000 W METROPOLITAN DR
ORANGE, CA 92868
Orange County (714) 935-6117
MR. LANCE LINDGREN
Counselor (Mental Health)
4000 W METROPOLITAN DR
ORANGE, CA 92868
Orange County (714) 954-2964
JUSTIN HUY TO LMFT
Marriage & Family Therapist
4000 W METROPOLITAN DR
ORANGE, CA 92868
Orange County (714) 954-2970

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 Theodore Phan's NPI number?

The NPI number for Theodore Phan is 1154783736. It was assigned to this individual provider in the NPPES registry on March 23, 2016.

Where is Theodore Phan located?

Theodore Phan practices at 4000 W Metropolitan Dr, Orange, CA 92868. The listed phone number is (866) 830-6011.

What is Theodore Phan'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 Theodore Phan was last updated on January 6, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.