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NPI Code Detail

MEDICARE: ARIADNA ANNA ARMENTA LCSW

MEDICARE: ARIADNA ANNA ARMENTA LCSW
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
1390200000XStudent in an Organized Health Care Education/Training Program
21041C0700XClinical Social WorkerLCSW102477CA
3101YM0800XMental Health Counselor83354CA

General Provider Information

NPI Number : 1801311741
Entity Type Code : Individual
Provider Name (Legal Business Name) : ARIADNA ANNA ARMENTA LCSW
Provider Business Mailing Address
First Line : 10560 SHERMAN GROVE AVE APT 7
Second Line :
City : SUNLAND
State : CA
Zip : 91040-1966
Country : US
Telephone Number : 909-730-6873
Fax Number :
Provider Business Practice Location Address
First Line : 4010 SAWTELLE BLVD
Second Line :
City : LOS ANGELES
State : CA
Zip : 90066-5408
Country : US
Telephone Number : 818-351-6018
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/11/2017
Last Update Date : 01/11/2023

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Directions to “ ARIADNA ANNA ARMENTA LCSW” Practice Location

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