JENNY PHUNG
NPI 1730798273
Social Worker - Clinical in Santa Rosa, CA

Q: What is Jenny Phung's NPI number?

The NPI number for Jenny Phung is 1730798273. It was assigned to this individual provider in the NPPES registry on July 30, 2020.

Q: What is Jenny Phung's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jenny Phung was last updated on November 17, 2023. 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.

Active since July 30, 2020PECOS Enrolled

2225 CHALLENGER WAY, SANTA ROSA, CA 95407(707) 576-8181 Get Directions Write a Review

NPPES record last updated: November 17, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 17, 2023, Jul 30, 2020 (2 updates tracked since 2020).

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About Jenny Phung NPPES

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

JENNY PHUNG (NPI 1730798273) is an individual clinical provider in Santa Rosa, California, licensed in California (117713) and active in the NPI registry since July 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1730798273

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameJENNY PHUNG

Location Address2225 CHALLENGER WAYSanta Rosa, CA 95407-5441

Mailing Address2225 Challenger WaySanta Rosa, CA 95407-5441 · (707) 576-8181

Phone(707) 576-8181

Sole ProprietorNo

Enumeration DateJuly 30, 2020

Last NPPES UpdateNovember 17, 20232 updates tracked since enumeration

NPPES CertifiedNovember 17, 2023

✔ NPI 1730798273 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 · 117713

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 ListedCounselorTaxonomy 101Y00000X · License 85539 (CA)

2225 CHALLENGER WAY, Santa Rosa, CA 95407

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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 (PECOS)

Jenny Phung is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 95407 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 $63.04 – $187.01

Typical copayment $0.00 (range $15.76 – $46.75)

Most-billed visit code NA

Established Patient

$77.94 typical visit price

range $21.02 – $153.40

Typical copayment $19.48 (range $5.25 – $38.35)

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 20

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

RACHEL J AVILA

Counselor (Addiction (Substance Use Disorder))