Organization Active NPI

Serenity Counseling Licensed Clinical Social Worker Inc

  • Clinical Social Worker
  • Glendale, CA
National Provider Identifier
1477252161
Registry record updated Jun 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
SERENITY COUNSELING LICENSED CLINICAL SOCIAL WORKER INC
Practice address
230 N Maryland Ave Ste 306
Glendale, CA 91206-4281
Phone
(818) 507-8525
NPI assigned
Mar 1, 2023
Last updated
Jun 5, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2023

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

Authorized official

Name
Sarin Papken Jivalagian
Title
Owner
Phone
(818) 507-8525

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X NU Primary

Addresses

Primary practice location

230 N Maryland Ave Ste 306
Glendale, CA 91206-4281

Mailing address

230 N Maryland Ave Ste 306
Glendale, CA 91206-4281

National Provider Directory

National Provider Directory

Locations

230 N Maryland Ave
Ste 306
Glendale, CA 91206
Phone (818) 507-8525

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1677628800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685923200000",
    "number": "1477252161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 N MARYLAND AVE STE 306",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912064281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 N MARYLAND AVE STE 306",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912064281",
            "telephone_number": "818-507-8525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY COUNSELING LICENSED CLINICAL SOCIAL WORKER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-01",
        "last_updated": "2023-06-05",
        "certification_date": "2023-06-05",
        "status": "A",
        "authorized_official_last_name": "JIVALAGIAN",
        "authorized_official_first_name": "SARIN",
        "authorized_official_middle_name": "PAPKEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-507-8525"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "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 Jun 5, 2023; 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.