Individual provider Active NPI

Marine Guloyan, ACSW

  • Clinical Social Worker
  • Studio City, CA
National Provider Identifier
1962158147
Registry record updated Feb 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
106490 Issued in CA
Practice address
11712 Moorpark St Ste 205B
Studio City, CA 91604-2158
Phone
(818) 425-9925
NPI assigned
Feb 25, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2022

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 106490 CA Primary

Addresses

Primary practice location

11712 Moorpark St Ste 205B
Studio City, CA 91604-2158

Mailing address

11712 Moorpark St Ste 205B
Studio City, CA 91604-2158
Phone (818) 425-9925

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

Practice roles

OrganizationSpecialtyStatusNew patients
Caring Kind Home Health Care, Inc. CurrentSince Feb 19, 2023 Accepting new patients
Studio City Clinical Associates a Licensed Clinical Social Worker Corp Clinical CurrentSince Feb 27, 2022 Accepting new patients

Locations

11712 Moorpark St
Ste 205B
Studio City, CA 91604
Phone (747) 800-0012

Organizations & group practices 2

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": "1645747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645747200000",
    "number": "1962158147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11712 MOORPARK ST STE 205B",
            "city": "STUDIO CITY",
            "state": "CA",
            "postal_code": "916042158",
            "telephone_number": "818-425-9925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11712 MOORPARK ST STE 205B",
            "city": "STUDIO CITY",
            "state": "CA",
            "postal_code": "916042158",
            "telephone_number": "818-425-9925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GULOYAN",
        "first_name": "MARINE",
        "credential": "ACSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-25",
        "last_updated": "2022-02-25",
        "certification_date": "2022-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "106490",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Studio City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2022; 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.