Soukthanome Thammavong, LICSW
Clinical Social Worker · Columbia Heights, MN
Soukthanome Thammavong, LICSW is a clinical social worker with a practice address in Columbia Heights, Minnesota, and NPI 1164986246, issued on Jan 23, 2019. Check the license with the Minnesota board that licenses this profession; the federal record below is the public data PlainDoctor holds for this provider.
- Name
- Soukthanome Thammavong
- Credential
- LICSW
- Primary taxonomy
- Clinical Social Worker 1041C0700X
- Practice location
- 4111 Central Ave NE Ste 201, Columbia Heights, MN 55421
- Phone
- (763) 283-7194
- Enumerated
- Jan 23, 2019
- Record last updated
- Apr 25, 2019 (not updated in 7 years: call before relying on the address or phone)
- Fax
- (612) 437-4535
- Medicare enrollment
- Enrolled (PECOS I20190321000408); accepts Medicare assignment
- Entity
- Type 1 · individual
8 nearest clinical social worker records → All 6,609 in Minnesota → Look up another NPI →
Verify Soukthanome Thammavong in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Minnesota board licenses this professionCheck the board
- 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Soukthanome Thammavong among 6,609 clinical social worker records in Minnesota
Soukthanome Thammavong, LICSW is one of 6,609 clinical social worker records with a practice address in Minnesota. 24% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does not. Its NPI, issued in 2019, is newer than 54% of them.
- NPI issued2019 · 54% of these records are older, 41% newer
- In a Medicare fileNo · 24% of these records are
- In the CMS Doctors and Clinicians fileYes · 31% of these records are
- Graduated2008 · median 2014 among the 2,023 with a school on file
- Record last updated2019 · 48% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 1041C0700X and a Minnesota practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
5 clinical social worker records list a practice address in Columbia Heights
They are 5 of the 195 NPPES records with a practice address in Columbia Heights, and 6,609 clinical social worker records in Minnesota. No Medicare prescribing, quality score, industry payment or hospital affiliation is published for this NPI.
All 6,609 in Minnesota → Every provider in Columbia Heights → Clinical Social Worker nationwide →
The 8 clinical social worker records with the nearest ZIP codes
- Nabiha AliColumbia Heights, MN 554211679145122
- Erin Buller, LICSWColumbia Heights, MN 554211659090033
- Rochelle Carrick, LICSWMinneapolis, MN 554211497569420
- Mark Davis, LICSWFridley, MN 554211457786998
- Daniel HenryFridley, MN 554211861884371
- Maria HughesColumbia Heights, MN 554211477286722
- Kimberly Marquez, LICSWColumbia Heights, MN 554211366384414
- Marc Maus, LICSWFridley, MN 554211598573966
Common questions
What is Soukthanome Thammavong, LICSW's NPI number?
Soukthanome Thammavong, LICSW's National Provider Identifier (NPI) is 1164986246, issued on Jan 23, 2019. An NPI identifies a provider in billing; it is not a license.
Where is Soukthanome Thammavong, LICSW located?
The NPPES record lists a practice address at 4111 Central Ave NE Ste 201, Columbia Heights, MN, 55421. Phone: (763) 283-7194. Providers update this record themselves, so call before visiting.
How can I verify Soukthanome Thammavong, LICSW's license?
Search the Minnesota board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.