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SUPAVINEE PHANNGOEN
NPI 1679276380
Community/Behavioral Health in Washington, DC

Active since March 22, 2023
2811 PENNSYLVANIA AVE SE # LL, WASHINGTON, DC 20020(202) 894-6811 Get Directions Write a Review

NPPES record last updated: March 22, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Supavinee Phanngoen NPPES

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

SUPAVINEE PHANNGOEN (NPI 1679276380) is an individual community/behavioral health provider in Washington, District Of Columbia and active in the NPI registry since March 2023.

NPPES Registry Identity

NPI1679276380
Entity TypeIndividualFemale
Primary Taxonomy251S00000X
Provider Legal NameSUPAVINEE PHANNGOEN
Location Address2811 PENNSYLVANIA AVE SE # LLWashington, DC 20020-3865
Mailing Address12804 Bluhill RdSilver Spring, MD 20906-4026 · (301) 267-0368
Phone(202) 894-6811
Sole ProprietorYes
Enumeration DateMarch 22, 2023
NPPES CertifiedMarch 22, 2023
✔ NPI 1679276380 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
2811 PENNSYLVANIA AVE SE # LL, Washington, DC 20020
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Other Providers at the Same Location NPPES 13

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

DIANE C MAGNE
Registered Nurse
2811 PENNSYLVANIA AVE SE # LL
WASHINGTON, DC 20020
District of Columbia (202) 894-6811
MS. RASHEL ABOH ACHA
Case Manager/Care Coordinator
2811 PENNSYLVANIA AVE SE # LL
WASHINGTON, DC 20020
District of Columbia (202) 894-6811
MERCY DONGMO HHA
Registered Nurse (Psychiatric/Mental Health, Adult)
2811 PENNSYLVANIA AVE SE # LL
WASHINGTON, DC 20020
District of Columbia (202) 894-6811
LOUISA ENDAH SOH
Case Manager/Care Coordinator
2811 PENNSYLVANIA AVE SE # LL
WASHINGTON, DC 20020
District of Columbia (202) 894-6811
LUCY U AZOBI
Nurse Practitioner (Psychiatric/Mental Health)
2811 PENNSYLVANIA AVE SE # LL
WASHINGTON, DC 20020
District of Columbia (202) 894-6811
VANNESSA D NKENG
Case Manager/Care Coordinator
2811 PENNSYLVANIA AVE SE # LL
WASHINGTON, DC 20020
District of Columbia (202) 894-6811
JAMAAL ADSIDE
Community/Behavioral Health
2811 PENNSYLVANIA AVE SE # LL
WASHINGTON, DC 20020
District of Columbia (202) 894-6811
ELIZABETH EKO
Case Manager/Care Coordinator
2811 PENNSYLVANIA AVE SE # LL
WASHINGTON, DC 20020
District of Columbia (202) 894-6811

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 Supavinee Phanngoen's NPI number?

The NPI number for Supavinee Phanngoen is 1679276380. It was assigned to this individual provider in the NPPES registry on March 22, 2023.

Where is Supavinee Phanngoen located?

Supavinee Phanngoen practices at 2811 Pennsylvania Ave SE # Ll, Washington, DC 20020. The listed phone number is (202) 894-6811.

What is Supavinee Phanngoen's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

When was this NPI record last updated?

The NPPES record for Supavinee Phanngoen was last updated on March 22, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.