Provider Demographics
NPI:1265212328
Name:VARDANYAN, ARPINE VAHIKOVNA (MSW, LCSW)
Entity type:Individual
Prefix:MRS
First Name:ARPINE
Middle Name:VAHIKOVNA
Last Name:VARDANYAN
Suffix:
Gender:F
Credentials:MSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1344 RAYMOND AVE
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:CA
Mailing Address - Zip Code:91201-1440
Mailing Address - Country:US
Mailing Address - Phone:818-641-7653
Mailing Address - Fax:
Practice Address - Street 1:1344 RAYMOND AVE
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:CA
Practice Address - Zip Code:91201-1440
Practice Address - Country:US
Practice Address - Phone:818-641-7653
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-10-04
Last Update Date:2023-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1175771041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical