Provider Demographics
NPI:1760542690
Name:NGUYEN, THU-NHUT (LGSW)
Entity Type:Individual
Prefix:MISS
First Name:THU-NHUT
Middle Name:
Last Name:NGUYEN
Suffix:
Gender:F
Credentials:LGSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1702 LANGLEY WAY
Mailing Address - Street 2:
Mailing Address - City:HYATTSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20783-2215
Mailing Address - Country:US
Mailing Address - Phone:301-439-0208
Mailing Address - Fax:
Practice Address - Street 1:2424 REEDIE DR
Practice Address - Street 2:
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20902-4624
Practice Address - Country:US
Practice Address - Phone:240-777-3206
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-12-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDGO8953104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker