Adrine Davtyan, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

80931 Issued in CA

Practice address

3827 E Colorado Blvd
Pasadena, CA 91107-3935

Phone

(626) 684-4906

NPI assigned

Dec 18, 2017

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

Locations

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.

• Citrine Marriage & Family Counseling Center Inc

  • Mental Health Counselor
  • Sherman Oaks, CA
  • NPI 1639807613
  NPD Authorized official

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

{
    "created_epoch": "1513555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558483200000",
    "number": "1750897427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 712",
            "city": "VERDUGO CITY",
            "state": "CA",
            "postal_code": "910460712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3827 E COLORADO BLVD",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911073935",
            "telephone_number": "626-684-4906"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1505 N Edgemont St Fl 1",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900275209",
            "country_code": "US",
            "telephone_number": "323-783-4371",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVTYAN",
        "first_name": "ADRINE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-18",
        "last_updated": "2019-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "80931",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Roshawn Denise Davis
• Roy Clark Davis, M.D.
• William Davis
• Zachary Davis
• Janice Lee Davolio, M.D.
• Veronica Davy, LMFT
• Nicole Irene Dawang
• Diane Mary Dawson, L.M.
• John Dawson
• Evan Noel Day

• Clinical Social Worker in Pasadena, CA
• Providers in Pasadena, 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 May 22, 2019; 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.