AZAT SOUREN OGANESIAN LMSW
NPI 1821486416
Social Worker in Bronx, NY

Active since January 05, 2015Opted out of Medicare · through Aug 3, 2026
1011 WASHINGTON AVE, BRONX, NY 10456(718) 585-4205 Get Directions Write a Review

NPPES record last updated: September 22, 2016. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Azat Souren Oganesian Lmsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AZAT SOUREN OGANESIAN LMSW (NPI 1821486416) is an individual social worker in Bronx, New York, licensed in New York (092633) and active in the NPI registry since January 2015. He has opted out of Medicare through August 3, 2026.

NPPES Registry Identity

NPI1821486416
Entity TypeIndividualMale
Primary Taxonomy104100000X
Provider Legal NameAZAT SOUREN OGANESIANCredential: LMSW
Location Address1011 WASHINGTON AVEBronx, NY 10456-6619
Mailing Address1011 Washington AveBronx, NY 10456-6619 · (715) 585-4205
Sole ProprietorNo
Enumeration DateJanuary 5, 2015
Last NPPES UpdateSeptember 22, 2016
NPI 1821486416 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers
Taxonomy Code104100000X
License Licensed in NY · 092633
Definition

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

1011 WASHINGTON AVE, Bronx, NY 10456

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Azat Souren Oganesian Lmsw has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from August 3, 2022 through August 3, 2026.

Opt-Out Effective DateAugust 3, 2022
Opt-Out In Effect ThroughAugust 3, 2026Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 16

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker (Clinical)
1011 WASHINGTON AVE, STREET LEVEL
BRONX, NY 10456
Social Worker (Clinical)
1011 WASHINGTON AVE
BRONX, NY 10456
Counselor (Mental Health)
1011 WASHINGTON AVE
BRONX, NY 10456
Social Worker (Clinical)
1011 WASHINGTON AVE
BRONX, NY 10456
Day Training, Developmentally Disabled Services
1011 WASHINGTON AVE
BRONX, NY 10456
Social Worker
1011 WASHINGTON AVE
BRONX, NY 10456
Social Worker
1011 WASHINGTON AVE
BRONX, NY 10456
Social Worker
1011 WASHINGTON AVE
BRONX, NY 10456

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1821486416, enumerated as an "individual" on January 05, 2015.

The provider is located at 1011 WASHINGTON AVE BRONX, NY 10456 and the phone number is (718) 585-4205.

Social Worker with taxonomy code 104100000X.