Active NPI
Madlen Ghookasi
- Clinical Social Worker
- Glendale, CA
National Provider Identifier
1720505563
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- ASW105822
- Practice address
- 138 N Brand Blvd Ste 303
Glendale, CA 91203-4621 - Phone
- (818) 497-7470
- NPI assigned
- Aug 23, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Practitioner | 225400000X | CA | ||
| Clinical Social Worker | 1041C0700X | ASW105822 | CA | Primary |
Addresses
Primary practice location
138 N Brand Blvd Ste 303
Glendale, CA 91203-4621
Mailing address
138 N Brand Blvd Ste 303
Glendale, CA 91203-4621
Phone (818) 497-7470
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ASW105822 | CA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1503446400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1676592000000",
"number": "1720505563",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "138 N BRAND BLVD STE 303",
"city": "GLENDALE",
"state": "CA",
"postal_code": "912034621",
"telephone_number": "818-497-7470"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "138 N BRAND BLVD STE 303",
"city": "GLENDALE",
"state": "CA",
"postal_code": "912034621",
"telephone_number": "818-497-7470"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GHOOKASI",
"first_name": "MADLEN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-08-23",
"last_updated": "2023-02-17",
"certification_date": "2023-02-17",
"status": "A"
},
"taxonomies": [
{
"code": "225400000X",
"taxonomy_group": "",
"desc": "Rehabilitation Practitioner",
"state": "CA",
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "ASW105822",
"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 Feb 17, 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.