Healthcare Provider Details

I. General information

NPI: 1285967232
Provider Name (Legal Business Name): SONA HOVSEPIAN MSW, LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/09/2009
Last Update Date: 03/15/2024
Certification Date: 03/15/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16111 PLUMMER ST BLDG 25
NORTH HILLS CA
91343-2036
US

IV. Provider business mailing address

301 E GLENOAKS BLVD STE 3
GLENDALE CA
91207-2118
US

V. Phone/Fax

Practice location:
  • Phone: 818-860-0527
  • Fax:
Mailing address:
  • Phone: 818-860-0527
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number81072
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: