Provider Demographics
NPI:1801183629
Name:ABRAHAMIAN, NATALIE (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:NATALIE
Middle Name:
Last Name:ABRAHAMIAN
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1935 ALPHA RD
Mailing Address - Street 2:UNIT 335
Mailing Address - City:GLENDALE
Mailing Address - State:CA
Mailing Address - Zip Code:91208-2153
Mailing Address - Country:US
Mailing Address - Phone:213-507-2408
Mailing Address - Fax:
Practice Address - Street 1:1935 ALPHA RD
Practice Address - Street 2:UNIT 335
Practice Address - City:GLENDALE
Practice Address - State:CA
Practice Address - Zip Code:91208-2153
Practice Address - Country:US
Practice Address - Phone:213-507-2408
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-30
Last Update Date:2011-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCS 250371041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical