Mr Kevin Panyanouvong, LCSW in Modesto, CA - Social Worker

Mr Kevin Panyanouvong, LCSW is a Social Worker - Clinical based in Modesto, California. Mr Kevin Panyanouvong is licensed to practice in California (license number 25999) and his current practice location is 800 Scenic Dr, Modesto, California. He can be reached at his office (for appointments etc.) via phone at (209) 525-6225.

NPI number for Mr Kevin Panyanouvong is 1033245857 and his current mailing address is 800 Scenic Dr, Modesto, California. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1033245857.

Contact Information

	Mr Kevin Panyanouvong, LCSW
	800 Scenic Dr, Modesto, CA 95350-6131
	(209) 525-6225
	(209) 558-4326

Healthcare Provider's Profile

Full Name	Mr Kevin Panyanouvong
Gender	Male
Speciality	Social Worker - Clinical
Location	800 Scenic Dr, Modesto, California
Accepts Medicare Assignments	Does not participate in Medicare Program. He may not accept medicare assignment.

NPI Data:

NPI Number: 1033245857
Provider Enumeration Date: 02/26/2007
Last Update Date: 12/20/2021

Medical Identifiers

Medical identifiers for Mr Kevin Panyanouvong such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1033245857	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	(* (Not Available))	Secondary
1041C0700X	Social Worker - Clinical	25999 (California)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Kevin Panyanouvong is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Mr Kevin Panyanouvong, LCSW 800 Scenic Dr, Modesto, CA 95350-6131 Ph: (209) 525-6225	Mr Kevin Panyanouvong, LCSW 800 Scenic Dr, Modesto, CA 95350-6131 Ph: (209) 525-6225

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Mr Kevin Panyanouvong, LCSW - Counselor in Modesto, CA