Individual ProviderHan PhamSocial WorkerBehavioral Health & Social Service ProvidersPractice Address6440 S Lewis Ave Ste 2200, Tulsa, OK 74136-1060(918) 712-0859(417) 761-5000PECOS EnrollmentBased on the most recent information from CMS, provider Han Pham 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 today at 11:47 AM.Profile DetailsProvider ID1215756093Provider TypeIndividualFull NamePham, HanCredentialMSW, LMSWGenderFemaleSole ProprietorNoEnumeration Date10/8/2024Last Updated5/21/2025Contact InformationPractice LocationPractice Address6440 S Lewis Ave Ste 2200, Tulsa, OK 74136-1060Phone(918) 712-0859Fax(918) 388-6456Mailing LocationMailing Address2885 W Battlefield St, Springfield, MO 65807-3952Phone(417) 761-5000FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicense20057Oklahoma