Individual provider Active NPI

Lilit Shalunts

  • Clinical Social Worker
  • Glendale, CA
National Provider Identifier
1639983950
Registry record updated Feb 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
112790 Issued in CA
Practice address
225 E Broadway
Glendale, CA 91205-1050
Phone
(818) 914-8226
NPI assigned
Feb 6, 2025
Last updated
Feb 6, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 6, 2025

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 112790 CA Primary

Addresses

Primary practice location

225 E Broadway
Glendale, CA 91205-1050

Mailing address

3222 Fairesta St Apt 3
La Crescenta, CA 91214-2606
Phone (818) 914-8226

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
I20260129001725 CA Practitioner - Clinical Social Worker 8820576093 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1535 E Colorado St
Glendale, CA 91205-1513

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Tri-State Community Healthcare Center CurrentSince Jan 1, 2026 Accepting new patients
Soulance Licensed Clinical Social Worker Professional Corporation Clinical CurrentSince Feb 9, 2025 Accepting new patients
Tri-State Community Healthcare Center CurrentSince Jan 1, 2026 Accepting new patients

Locations

11499 Bartlett Ave
Adelanto, CA 92301
Phone (760) 444-4258

11888 Bartlett Ave
Adelanto, CA 92301
Phone (760) 530-9944

4137 Verdugo Rd
Los Angeles, CA 90065
Phone (323) 256-5800

820 W Broadway St
Needles, CA 92363
Phone (760) 326-0222

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1738800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738800000000",
    "number": "1639983950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3222 FAIRESTA ST APT 3",
            "city": "LA CRESCENTA",
            "state": "CA",
            "postal_code": "912142606",
            "telephone_number": "818-914-8226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 E BROADWAY",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912051050",
            "telephone_number": "818-914-8226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHALUNTS",
        "first_name": "LILIT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-02-06",
        "last_updated": "2025-02-06",
        "certification_date": "2025-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "112790",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, CA

Sources for this page

Verify at the official NPI Registry.