Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Henri Koroveshi, LCSW

Individual provider Clinical Social Worker · NPI 1316601479

Henri Koroveshi, LCSW is a Clinical Social Worker in Irvine, California. Qualified in 2015, 11 years ago. Practices with Sud Specialty Group - Ca, a 499-clinician group, accepts Medicare assignment and offers telehealth.

Years since qualifying
11
In the registry since
2021
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

4902 Irvine Center Dr Ste 203
Irvine, CA 92604-3335
Phone: (855) 284-7483
Fax: (617) 807-0958
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X

Record details

NPI number1316601479
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorNo
NPI enumeratedOctober 26, 2021
Last updated in NPPESFebruary 25, 2022
Certification dateOctober 8, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Sud Specialty Group - Ca — 499 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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