Active NPI
Aneta Ani Sukiasyan, LCSW
- Clinical Social Worker
- Los Angeles, CA
National Provider Identifier
1992920839
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCSW 61920
- Practice address
- 529 Maple Ave
Los Angeles, CA 90013-1511 - Phone
- (213) 996-7300
- NPI assigned
- Apr 16, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | |||
| Clinical Social Worker | 1041C0700X | LCSW 61920 | CA | Primary |
| Social Worker | 104100000X | ASW24964 | CA |
Addresses
Primary practice location
529 Maple Ave
Los Angeles, CA 90013-1511
Mailing address
P.O. Box 9421
Glendale, CA 91226
Phone (818) 434-3726
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ASW24964 | CA | MD | Social Worker |
| LCSW 61920 | CA | MD | Clinical Social Worker |
| 61920 | CA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176681600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1417651200000",
"number": "1992920839",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 9421",
"city": "GLENDALE",
"state": "CA",
"postal_code": "91226",
"telephone_number": "818-434-3726"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "529 MAPLE AVE",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900131511",
"telephone_number": "213-996-7300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUKIASYAN",
"first_name": "ANETA",
"middle_name": "ANI",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-16",
"last_updated": "2014-12-04",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "LCSW 61920",
"primary": true
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "CA",
"license": "ASW24964",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.