Social Worker, Clinical
DIVERSE MENTAL HEALTH RESPONSE LLC
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1477330330 · enumerated 2023-09-13 · record updated 2024-07-30. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Authorized official: Mr. XENG PHA LICSW, Owner · (651) 425-1614
Other names: DIVERSE MENTAL HEALTH RESPONSE
Addresses and phones
- Practice location 1400 QUEEN AVE N, MINNEAPOLIS, MN, 55411-2926 (651) 425-1614 Google Maps Apple Maps OpenStreetMap
- Mailing address 9216 WHITE OAKS TRL, CHAMPLIN, MN, 55316-2675 Google Maps Apple Maps OpenStreetMap
Specialties
- Social Worker, Clinical 1041C0700X · Primary
- Psychiatry & Neurology, Psychiatry 2084P0800X
- Case Management 251B00000X
- Community/Behavioral Health 251S00000X
- Clinic/Center 261Q00000X
- Assisted Living Facility, Assisted Living, Mental Illness 3104A0625X
- Community Based Residential Treatment Facility, Mental Illness 320800000X
In this directory
Locations and evidence
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Practice location
MINNEAPOLIS, MN, 554112926
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.