Organization Active NPI

Soulance Licensed Clinical Social Worker Professional Corporation

  • Clinical Social Worker
  • La Crescenta, CA
National Provider Identifier
1265383178
Registry record updated Feb 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
SOULANCE LICENSED CLINICAL SOCIAL WORKER PROFESSIONAL CORPORATION
Practice address
3222 Fairesta St Apt 3
La Crescenta, CA 91214-2606
Phone
(818) 914-8226
NPI assigned
Feb 6, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2026

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

Authorized official

Name
Lilit ShaluntsNPI 1639983950
Title
Owner
Phone
(818) 914-8226

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

3222 Fairesta St Apt 3
La Crescenta, CA 91214-2606

Mailing address

3222 Fairesta St Apt 3
Glendale, CA 91214-2606
Phone (909) 901-3332

Other identifiers 1

IdentifierTypeStateIssuer
135252OtherCALCSW

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1770336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770336000000",
    "number": "1265383178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3222 FAIRESTA ST APT 3",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912142606",
            "telephone_number": "909-901-3332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3222 FAIRESTA ST APT 3",
            "city": "LA CRESCENTA",
            "state": "CA",
            "postal_code": "912142606",
            "telephone_number": "818-914-8226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOULANCE LICENSED CLINICAL SOCIAL WORKER PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-02-06",
        "last_updated": "2026-02-06",
        "certification_date": "2026-02-06",
        "status": "A",
        "authorized_official_last_name": "SHALUNTS",
        "authorized_official_first_name": "LILIT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-914-8226"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LCSW",
            "identifier": "135252",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in La Crescenta, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2026; 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.