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QUANG PHO
NPI 1417436585
Social Worker - Clinical in Somerville, MA

Active since August 09, 2018PECOS EnrolledAccepts Medicare Assignment
74 FLORENCE ST APT 2, SOMERVILLE, MA 02145(857) 626-6936 Get Directions Write a Review

NPPES record last updated: July 22, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 22, 2024, Aug 9, 2018 (2 updates tracked since 2018).

About Quang Pho NPPES

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

QUANG PHO (NPI 1417436585) is an individual clinical provider in Somerville, Massachusetts, licensed in Massachusetts (LICSW127903) and active in the NPI registry since August 2018. He is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1417436585
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameQUANG PHO
Location Address74 FLORENCE ST APT 2Somerville, MA 02145-3430
Mailing Address320 Broadway Unit 45521Somerville, MA 02145-4522 · (857) 626-6936
Phone(857) 626-6936
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateAugust 9, 2018
Last NPPES UpdateJuly 22, 20242 updates tracked since enumeration
NPPES CertifiedJuly 22, 2024
✔ NPI 1417436585 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 MA · LICSW127903
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.
74 FLORENCE ST APT 2, Somerville, MA 02145
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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

Quang Pho 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 ID446797518
PECOS Enrollment IDI20240807000963
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 02145 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 $63.72 – $189.86
Typical copayment $0.00 (range $15.93 – $47.46)
Most-billed visit code NA
Established Patient
$78.84 typical visit price
range $21.07 – $155.29
Typical copayment $19.71 (range $5.26 – $38.82)
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.

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 Quang Pho's NPI number?

The NPI number for Quang Pho is 1417436585. It was assigned to this individual provider in the NPPES registry on August 9, 2018.

Where is Quang Pho located?

Quang Pho practices at 74 Florence St Apt 2, Somerville, MA 02145. The listed phone number is (857) 626-6936.

What is Quang Pho's specialty?

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

Is Quang Pho enrolled in Medicare?

Yes. Quang Pho 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 Quang Pho was last updated on July 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.