Individual ProviderThomas NguyenSocial WorkerBehavioral Health & Social Service ProvidersPractice Address800 Zorn Ave, Louisville, KY 40206-1433(217) 497-0185PECOS EnrollmentBased on the most recent information from CMS, provider Thomas Nguyen does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 9:43 AM.Profile DetailsProvider ID1023633310Provider TypeIndividualFull NameNguyen, ThomasCredentialLCSWGenderMaleSole ProprietorNoEnumeration Date6/11/2020Last Updated4/12/2024Contact InformationPractice LocationPractice Address800 Zorn Ave, Louisville, KY 40206-1433Phone(217) 497-0185FaxUnlisted FaxMailing LocationMailing Address800 Zorn Ave, Louisville, KY 40206-1433Phone(217) 497-0185FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicense149.022281Illinois