Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dieumy Phan, LICSW

Individual provider Social Worker · NPI 1073098141

Dieumy Phan, LICSW is a Social Worker in Boston, Massachusetts. Practices as a sole proprietor. Licensed in Massachusetts.

Licensed in
MA
In the registry since
2018
What do these letters mean?
LICSW — Licensed Independent Clinical Social Worker
The title some states use for an independently practising clinical social worker.

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Practice location Address checks out

300 The Fenway
Boston, MA 02115-5820
Phone: (617) 521-3943
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Social Worker (primary) Taxonomy 104100000X · Licence 116947 (MA)

Record details

NPI number1073098141
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorYes
NPI enumeratedSeptember 25, 2018
Last updated in NPPESSeptember 25, 2018

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