Kristine Agzikyouchoukian

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

ASW128187 Issued in CA

Practice address

3800 Watt Ave Ste 110
Sacramento, CA 95821-2622

Phone

(916) 344-0249

NPI assigned

Jul 26, 2022

Last updated

Feb 6, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1658793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738800000000",
    "number": "1124754726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3800 WATT AVE STE 110",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958212622",
            "telephone_number": "916-344-0249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3800 WATT AVE STE 110",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958212622",
            "telephone_number": "916-344-0249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGZIKYOUCHOUKIAN",
        "first_name": "KRISTINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-26",
        "last_updated": "2025-02-06",
        "certification_date": "2025-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "ASW128187",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alfredo Javier Agustin III
• Glenda Agustin, M.D.
• Josie Agustin, M.A.
• Maria Alexis Agustin, RN
• Nana Agyeman
• Ah Addiction Care of California PC (Anonymous Health)
• Carlos Ah Ching
• Wajeeha Ahad, PHARMD
• Joann C Ahaneku, DTR
• Samira Ahantab

• Clinical Social Worker in Sacramento, CA
• Providers in Sacramento, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.