Individual provider Active NPI

Kohar Kelkelyan, LCSW

  • Clinical Social Worker
  • Arcadia, CA
National Provider Identifier
1780400283
Registry record updated Nov 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
2509 Woodruff Way
Arcadia, CA 91007-8558
Phone
(626) 712-3997
NPI assigned
Nov 29, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 29, 2024

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 CA Primary

Addresses

Primary practice location

2509 Woodruff Way
Arcadia, CA 91007-8558

Mailing address

2509 Woodruff Way
Arcadia, CA 91007-8558
Phone (626) 712-3997

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
I20250602002498 CA Practitioner - Clinical Social Worker 6002325032 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

138 N Brand Blvd
Suite 303
Glendale, CA 91203-4621
Phone (818) 937-1095

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Anchor Counseling Group, a Professional Corporation for Indiv CurrentSince Mar 16, 2025 Accepting new patients

Locations

138 N Brand Blvd
Ste 303
Glendale, CA 91203
Phone (818) 500-9708

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1732838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732838400000",
    "number": "1780400283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2509 WOODRUFF WAY",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910078558",
            "telephone_number": "626-712-3997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2509 WOODRUFF WAY",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910078558",
            "telephone_number": "626-712-3997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELKELYAN",
        "first_name": "KOHAR",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-11-29",
        "last_updated": "2024-11-29",
        "certification_date": "2024-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arcadia, CA

Sources for this page

Verify at the official NPI Registry.