Individual provider Active NPI

Sadaf Khan, LCSW

  • Clinical Social Worker
  • Sterling, VA
National Provider Identifier
1083256598
Registry record updated Oct 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904011279 Issued in VA
Practice address
21155 Whitfield PL Ste 202
Sterling, VA 20165-7277
Phone
(571) 375-0668
NPI assigned
Oct 16, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 16, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 0904011279 VA Primary

Addresses

Primary practice location

21155 Whitfield PL Ste 202
Sterling, VA 20165-7277

Mailing address

10 Howard PL
Sterling, VA 20164-1338

Other practice location 1

21000 Education Ct
Broadlands, VA 20148-5526
Phone (571) 252-1014

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
0904011279VAMDClinical Social Worker

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1571184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571184000000",
    "number": "1083256598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 HOWARD PL",
            "city": "STERLING",
            "state": "VA",
            "postal_code": "201641338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21155 WHITFIELD PL STE 202",
            "city": "STERLING",
            "state": "VA",
            "postal_code": "201657277",
            "telephone_number": "571-375-0668"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "21000 Education Ct",
            "address_purpose": "LOCATION",
            "city": "Broadlands",
            "state": "VA",
            "postal_code": "201485526",
            "country_code": "US",
            "telephone_number": "571-252-1014",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KHAN",
        "first_name": "SADAF",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-16",
        "last_updated": "2019-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904011279",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sterling, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.