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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

VYVIAN PHAN LCSW
NPI 1255840575
Social Worker - Clinical in Albuquerque, NM

Active since September 29, 2017PECOS EnrolledAccepts Medicare Assignment
9201 MONTGOMERY BLVD NE STE A, ALBUQUERQUE, NM 87111(505) 702-9080 Get Directions Write a Review

NPPES record last updated: June 20, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 24, 2023, Feb 23, 2021, Sep 1, 2020 (3 updates tracked since 2020).

About Vyvian Phan Lcsw NPPES

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

VYVIAN PHAN LCSW (NPI 1255840575) is an individual clinical provider in Albuquerque, New Mexico, licensed in New Mexico (SWB-2023-0980) and active in the NPI registry since September 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1255840575
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameVYVIAN PHANCredential: LCSW
Location Address9201 MONTGOMERY BLVD NE STE AAlbuquerque, NM 87111-2468
Mailing Address1855 Smarty Jones St SeAlbuquerque, NM 87123-2398 · (505) 702-9080
Phone(505) 702-9080
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateSeptember 29, 2017
Last NPPES UpdateJune 20, 20263 updates tracked since enumeration
NPPES CertifiedJune 20, 2026
✔ NPI 1255840575 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Licenses✔ Licensed in NM · SWB-2023-0980✔ Licensed in TX · 115372
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.
9201 MONTGOMERY BLVD NE STE A, Albuquerque, NM 87111
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Vyvian Phan Lcsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9133573694
PECOS Enrollment IDI20231002003666
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 87111 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $54.26 – $166.80
Typical copayment $0.00 (range $13.56 – $41.70)
Most-billed visit code NA
Established Patient
$68.00 typical visit price
range $17.00 – $135.35
Typical copayment $17.00 (range $4.25 – $33.83)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

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

SYLVIA SENA
Counselor (Professional)
9201 MONTGOMERY BLVD NE STE A
ALBUQUERQUE, NM 87111
Bernalillo County (505) 702-9080
MOVEMENT PSYCHOTHERAPY SERVICES LLC
Community/Behavioral Health
9201 MONTGOMERY BLVD NE STE A
ALBUQUERQUE, NM 87111
Bernalillo County (505) 702-9080

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 Vyvian Phan's NPI number?

The NPI number for Vyvian Phan is 1255840575. It was assigned to this individual provider in the NPPES registry on September 29, 2017.

Where is Vyvian Phan located?

Vyvian Phan practices at 9201 Montgomery Blvd NE Ste A, Albuquerque, NM 87111. The listed phone number is (505) 702-9080.

What is Vyvian Phan's specialty?

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

Is Vyvian Phan enrolled in Medicare?

Yes. Vyvian Phan is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Vyvian Phan was last updated on June 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 54 days 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.