Individual provider Active NPI

Ann Skenderian, LCSW

  • Clinical Social Worker
  • Claremont, CA
National Provider Identifier
1316008261
Registry record updated Apr 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCS10508 Issued in CA
Practice address
427 Yale Ave
Claremont, CA 91711
Phone
(909) 625-6106
Fax
(909) 625-6199
NPI assigned
Dec 13, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2016

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 LCS10508 CA Primary

Addresses

Primary practice location

427 Yale Ave
Claremont, CA 91711

Mailing address

427 Yale Ave
Claremont, CA 91711
Phone (909) 625-6106

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
I20080723000853 CA Practitioner - Clinical Social Worker 2163595117 Practice locations: Claremont, CA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

427 Yale Ave
Claremont, CA 91711-4340
Phone (909) 625-6106

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10508CAMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461628800000",
    "number": "1316008261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "427 YALE AVE",
            "city": "CLAREMONT",
            "state": "CA",
            "postal_code": "91711",
            "telephone_number": "909-625-6106",
            "fax_number": "909-625-6199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "427 YALE AVE",
            "city": "CLAREMONT",
            "state": "CA",
            "postal_code": "91711",
            "telephone_number": "909-625-6106",
            "fax_number": "909-625-6199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKENDERIAN",
        "first_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-13",
        "last_updated": "2016-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS10508",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Claremont, CA

Sources for this page

Verify at the official NPI Registry.