Carol Regene Saragossi, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCS 20415 Issued in CA

Practice address

6651 Balboa Blvd
Van Nuys, CA 91406-5529

Phone

(818) 997-2640

Fax

(818) 996-9850

NPI assigned

Mar 29, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1952421513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17339 HALSTED ST",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913252020",
            "telephone_number": "818-885-1790",
            "fax_number": "818-885-0319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6651 BALBOA BLVD",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914065529",
            "telephone_number": "818-997-2640",
            "fax_number": "818-996-9850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SARAGOSSI",
        "first_name": "CAROL",
        "middle_name": "REGENE",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS 20415",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED CLINICAL S.W.",
            "identifier": "LCS20415",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SCHOOL SOCIAL WORKER",
            "identifier": "LCS20415",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sharmaine Sapon
• Sapphire Hospice, Inc.
• Emily Sarafian
• Grigor Greg Sarafian, DMD
• Irina Sarafyan, D.D.S.
• Sarah Medical Equipment Inc.
• Roxanna Isabella Saremi
• Anzhela Sargsyan, COUNSELOR
• Arpine Sargsyan
• Diana Sargsyan, MA, BCBA

• Clinical Social Worker in Van Nuys, CA
• Providers in Van Nuys, 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 Jul 8, 2007; 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.