SearchMassachusettsClinical Social Worker

Khamphady Keovongsa, LICSW

NPI 1194125625 · on the registry since 2014 · sole proprietor

Practice

Address
30 Standish Rd
Arlington, MA 02476
Phone
(781) 999-4975
Fax
(801) 263-4333
Organisation at this address
Actualize Counseling & Nutrition Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
5

Registry record

Primary taxonomy
Clinical Social Worker
1041C0700X
Also registered as
Clinical Social Worker
Licence states on file
UT
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2023-09-21

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Massachusetts