Gina Nercisian, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

107145 Issued in CA

Practice address

4910 Glencove Ave
La Crescenta, CA 91214-1028

Phone

(818) 660-6870

NPI assigned

Jan 7, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Gina Nercisian Licensed Clinical Social Worker Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • La Crescenta, CA
  • NPI 1588489611
  NPD Authorized official

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

{
    "created_epoch": "1546819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733702400000",
    "number": "1750854337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2222 FOOTHILL BLVD STE E162",
            "city": "LA CANADA FLINTRIDGE",
            "state": "CA",
            "postal_code": "910111456",
            "telephone_number": "818-660-6870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4910 GLENCOVE AVE",
            "city": "LA CRESCENTA",
            "state": "CA",
            "postal_code": "912141028",
            "telephone_number": "818-660-6870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NERCISIAN",
        "first_name": "GINA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-07",
        "last_updated": "2024-12-09",
        "certification_date": "2024-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "107145",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in La Crescenta, CA
• Providers in La Crescenta, 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 Dec 9, 2024; 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.