THAO THI PHAN LMSW-C
NPI 1972241487
Social Worker - Clinical in Saint Clair Shores, MI
About Thao Thi Phan Lmsw-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
THAO THI PHAN LMSW-C (NPI 1972241487) is an individual clinical provider in Saint Clair Shores, Michigan, licensed in Michigan (6801114403) and active in the NPI registry since May 2022. She is enrolled in Medicare PECOS and is a graduate of Other (1994).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Accepted Insurance
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
Thao Thi Phan Lmsw-c 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 48080 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 14
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SAINT CLAIR SHORES, MI 48080
SAINT CLAIR SHORES, MI 48080
SAINT CLAIR SHORES, MI 48080
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 Thao Phan's NPI number?
The NPI number for Thao Phan is 1972241487. It was assigned to this individual provider in the NPPES registry on May 24, 2022. The provider is also known as Carolyn Phan Lmsw-C.
Where is Thao Phan located?
Thao Phan practices at 23100 Jefferson Ave, Saint Clair Shores, MI 48080. The listed phone number is (586) 335-2006.
What is Thao Phan's specialty?
The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.
Is Thao Phan enrolled in Medicare?
Yes. Thao 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.
What insurance does Thao Phan accept?
Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company and Priority Health list Thao Phan as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Thao Phan was last updated on January 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.
# Thao Thi Phan, LMSW-C · NPI 1972241487
Clinical provider in Saint Clair Shores, Michigan. Individual provider, active in the CMS NPPES registry since May 24, 2022.
## Identity
- **NPI:** 1972241487 (Entity type: Individual)
- **Enumerated:** May 24, 2022
- **Primary specialty:** Social Worker - Clinical · taxonomy 1041C0700X
- **State license:** 6801114403 (Michigan)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 23100 JEFFERSON AVE, Saint Clair Shores, MI 48080-2756
- **Phone:** (586) 335-2006
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Medical school:** Other, class of 1994
## Record status
- **NPPES last updated:** January 22, 2024
---
Source: [NPI Profile](https://npiprofile.com/npi/1972241487) · Data from the CMS NPPES public registry.