Ani Ifiktchyan, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LSCW101921 Issued in CA

Practice address

500 E Olive Ave Ste 720
Burbank, CA 91501-2132

Phone

(747) 333-8559

NPI assigned

Jul 11, 2017

Last updated

Apr 29, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ani.ifiktchyan.1@17371.direct.athenahealth.com
• Direct secure messaging: ani.ifiktchyanlcsw.p1@direct.afh.nextgenshare.com

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.

• Hope and Solace Community Mental Health Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Burbank, CA
  • NPI 1487485041
  NPD Authorized official
• Solace Mental Health Therapy, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Burbank, CA
  • NPI 1528703113
  NPD Authorized official

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

{
    "created_epoch": "1499731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651190400000",
    "number": "1649792722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8019 COMPTON AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900013409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 E OLIVE AVE STE 720",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915012132",
            "telephone_number": "747-333-8559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IFIKTCHYAN",
        "first_name": "ANI",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-11",
        "last_updated": "2022-04-29",
        "certification_date": "2022-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "77529",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LSCW101921",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Judy Lynn Ichiuji, O.D.
• Icon Health Solutions LLC (Icon Health Solutions)
• Ideal Home Health Care, Inc
• Idyllic Healthcare Services
• Idyllic Home Health Services
• Ann T Igawa, N.P.
• Lindsay Nicole Ignatczyk, P.A.
• Ernestine Ihekire, NP
• David A Iler Jr., LMT
• Lisa Pulsifer Illingworth, LCSW

• Clinical Social Worker in Burbank, CA
• Providers in Burbank, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2022; 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.