Individual provider Active NPI

Aida Grigorian

  • Clinical Social Worker
  • Glendale, CA
National Provider Identifier
1194365916
Registry record updated Dec 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
127554 Issued in CA
Practice address
138 N Brand Blvd Ste 303
Glendale, CA 91203-4621
Phone
(818) 937-1095
NPI assigned
Jan 9, 2020
Last updated
Dec 19, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 127554 CA Primary
Student in an Organized Health Care Education/Training Program 390200000X NU

Addresses

Primary practice location

138 N Brand Blvd Ste 303
Glendale, CA 91203-4621

Mailing address

1150 S Olive St Ste 1400
Los Angeles, CA 90015-2871
Phone (213) 821-5977

Other practice location 1

1150 S Olive St Ste 1400
Los Angeles, CA 90015-2871
Phone (213) 821-5977

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
127554CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Inner Harmony Therapy, a Professional Licensed Clinical Social Worker Corporation Clinical Current Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1578528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734566400000",
    "number": "1194365916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1150 S OLIVE ST STE 1400",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900152871",
            "telephone_number": "213-821-5977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "138 N BRAND BLVD STE 303",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912034621",
            "telephone_number": "818-937-1095"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1150 S Olive St Ste 1400",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900152871",
            "country_code": "US",
            "telephone_number": "213-821-5977",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRIGORIAN",
        "first_name": "AIDA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-09",
        "last_updated": "2024-12-19",
        "certification_date": "2024-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "127554",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2024; 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.