Individual provider Active NPI

Talin Khechoomian, LCSW

  • Clinical Social Worker
  • North Hollywood, CA
National Provider Identifier
1114467156
Registry record updated Jan 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
89129 Issued in CA
Practice address
11005 Kittridge St Apt 101
North Hollywood, CA 91606-2761
Phone
(747) 977-1674
NPI assigned
Feb 23, 2017
Last updated
Jan 15, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 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 89129 CA Primary

Addresses

Primary practice location

11005 Kittridge St Apt 101
North Hollywood, CA 91606-2761

Mailing address

11005 Kittridge St Apt 101
North Hollywood, CA 91606-2761
Phone (747) 977-1674

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
I20251211003631 CA Practitioner - Clinical Social Worker 3375037807 Practice locations: North Hollywood, CA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

11005 Kittridge St
Apt 101
North Hollywood, CA 91606-2760

11005 Kittridge St
Apt 101
North Hollywood, CA 91606-2761
Phone (818) 438-7278

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
89129CAMDPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

NPI Registry JSON

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

{
    "created_epoch": "1487808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768435200000",
    "number": "1114467156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11005 KITTRIDGE ST APT 101",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916062761",
            "telephone_number": "747-977-1674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11005 KITTRIDGE ST APT 101",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916062761",
            "telephone_number": "747-977-1674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHECHOOMIAN",
        "first_name": "TALIN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-23",
        "last_updated": "2026-01-15",
        "certification_date": "2026-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "89129",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Hollywood, CA

Sources for this page

Verify at the official NPI Registry.