Individual provider Active NPI

Elizabeth Ceccon

  • Clinical Social Worker
  • Glendale, CA
National Provider Identifier
1083313787
Registry record updated Apr 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
113825 Issued in CA
Practice address
138 N Brand Blvd Ste 200
Glendale, CA 91203-4617
Phone
(424) 413-0949
NPI assigned
Mar 1, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 21, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 113825 CA Primary

Addresses

Primary practice location

138 N Brand Blvd Ste 200
Glendale, CA 91203-4617

Mailing address

138 N Brand Blvd Ste 200
Glendale, CA 91203-4617
Phone (424) 413-0949

Other names 1

  • Elizabeth Pashanian Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230614001708 CA Order and Referring Only - Clinical Social Worker 4880052422

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1677628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776729600000",
    "number": "1083313787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "138 N BRAND BLVD STE 200",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912034617",
            "telephone_number": "424-413-0949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "138 N BRAND BLVD STE 200",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912034617",
            "telephone_number": "424-413-0949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CECCON",
        "first_name": "ELIZABETH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-03-01",
        "last_updated": "2026-04-21",
        "certification_date": "2026-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "113825",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "PASHANIAN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Glendale, CA

Sources for this page

Verify at the official NPI Registry.