Individual provider · Type 1 NPI

Lida Kerobyan

Clinical Social Worker · Glendale, CA

NPI number 1003712175 Active

Practice location

1509 Wilson Ter
Glendale, CA 91206-4007

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XLCSW139731 (CA)

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1003712175

Lida Kerobyan's National Provider Identifier is 1003712175, issued on Oct 16, 2026. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Glendale, CA. The record was last updated on Oct 16, 2026.