Provider Demographics
NPI:1679624464
Name:VARTAN, SARKIS ANTHONY (LCSW)
Entity Type:Individual
Prefix:MR
First Name:SARKIS
Middle Name:ANTHONY
Last Name:VARTAN
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2930 GEER RD STE 247
Mailing Address - Street 2:
Mailing Address - City:TURLOCK
Mailing Address - State:CA
Mailing Address - Zip Code:95382-1142
Mailing Address - Country:US
Mailing Address - Phone:209-535-3541
Mailing Address - Fax:
Practice Address - Street 1:430 CRANE AVE
Practice Address - Street 2:SUITE 106
Practice Address - City:TURLOCK
Practice Address - State:CA
Practice Address - Zip Code:95380-4551
Practice Address - Country:US
Practice Address - Phone:209-535-3541
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-16
Last Update Date:2023-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCS222781041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical