Individual provider Active NPI

Lori Lisa Menendyan, MSW, LCSW

  • Clinical Social Worker
  • Encino, CA
National Provider Identifier
1619304367
Registry record updated Sep 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
28727 Issued in CA
Practice address
16542 Ventura Blvd
Suite 320
Encino, CA 91436-2005
Phone
(818) 497-0466
NPI assigned
Sep 26, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 26, 2013

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 28727 CA Primary

Addresses

Primary practice location

16542 Ventura Blvd
Suite 320
Encino, CA 91436-2005

Mailing address

16542 Ventura Blvd
Suite 320
Encino, CA 91436-2005
Phone (818) 497-0466

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
I20151103001549 CA Practitioner - Clinical Social Worker 8820308802 Reassigns benefits to 3 organizations
Practice locations: Encino, CA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
28727CAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
San Bernardino Mountains Community Hospital District CurrentSince Aug 29, 2017 Accepting new patients

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1380153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1380153600000",
    "number": "1619304367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16542 VENTURA BLVD",
            "address_2": "SUITE 320",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914362005",
            "telephone_number": "818-497-0466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16542 VENTURA BLVD",
            "address_2": "SUITE 320",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914362005",
            "telephone_number": "818-497-0466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENENDYAN",
        "first_name": "LORI",
        "middle_name": "LISA",
        "credential": "MSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-09-26",
        "last_updated": "2013-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "28727",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Encino, CA

Sources for this page

Verify at the official NPI Registry.