MEDICARE: DBT OF FRESNO, LICENSED CLINICAL SOCIAL WORKER , CORP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker

General Provider Information

NPI Number	:	1093490831
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DBT OF FRESNO, LICENSED CLINICAL SOCIAL WORKER , CORP

Provider Business Mailing Address
First Line	:	5132 N PALM AVE # 110
Second Line	:
City	:	FRESNO
State	:	CA
Zip	:	93704-2236
Country	:	US
Telephone Number	:	559-785-0347
Fax Number	:

Provider Business Practice Location Address
First Line	:	516 W SHAW AVE STE 200
Second Line	:
City	:	FRESNO
State	:	CA
Zip	:	93704-2515
Country	:	US
Telephone Number	:	559-785-0347
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	NARINE ZILFUGHARYAN
Credential	:	SOCIAL WORKER
Telephone Number	:	559-785-0347

Provider Enumeration Date	:	06/20/2023
Last Update Date	:	01/22/2026

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