Active NPI
Andrew Jack Demirdjian, LCSW
- Clinical Social Worker
- Glendale, CA
National Provider Identifier
1396656021
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 133977
- Practice address
- 1250 W. Glenoaks Blvd., Ste E
PMB 332
Glendale, CA 91201 - Phone
- (747) 285-0878
- NPI assigned
- Sep 14, 2026
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 133977 | CA | Primary |
Addresses
Primary practice location
1250 W. Glenoaks Blvd., Ste E
PMB 332
Glendale, CA 91201
Mailing address
1250 W. Glenoaks Blvd., Unit E
PMB 332
Glendale, CA 91201
Phone (747) 285-0878
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1789344000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1789344000000",
"number": "1396656021",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1250 W. GLENOAKS BLVD., UNIT E",
"address_2": "PMB 332",
"city": "GLENDALE",
"state": "CA",
"postal_code": "91201",
"telephone_number": "747-285-0878"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1250 W. GLENOAKS BLVD., STE E",
"address_2": "PMB 332",
"city": "GLENDALE",
"state": "CA",
"postal_code": "91201",
"telephone_number": "747-285-0878"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEMIRDJIAN",
"first_name": "ANDREW",
"middle_name": "JACK",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2026-09-14",
"last_updated": "2026-09-14",
"certification_date": "2026-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "133977",
"primary": true
}
],
"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 Sep 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.