Sidrah S Khan, Licensed Clinical Social Worker, Inc

Primary specialty

Social WorkerTaxonomy code 104100000X

Legal business name

SIDRAH S KHAN, LICENSED CLINICAL SOCIAL WORKER, INC

Practice address

327 N Boylston St Apt 604
Los Angeles, CA 90012-4687

Phone

(208) 447-9526

NPI assigned

Aug 7, 2022

Organization subpart

No

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

Authorized official

Name

Sidrah S Khan, LCSWNPI 1386045433

Title

President

Phone

(208) 447-9526

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sidrah S Khan, LCSW

  • Clinical Social Worker
  • Boise, ID
  • NPI 1386045433
  NPD Authorized official

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

{
    "created_epoch": "1659830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1659830400000",
    "number": "1083341291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "327 N BOYLSTON ST APT 604",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900124687",
            "telephone_number": "208-447-9526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "327 N BOYLSTON ST APT 604",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900124687",
            "telephone_number": "208-447-9526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIDRAH S KHAN, LICENSED CLINICAL SOCIAL WORKER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-07",
        "last_updated": "2022-08-07",
        "certification_date": "2022-08-07",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "SIDRAH",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "208-447-9526",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Harjind Singh Sidhu, DDS
• Manpreet Sidhu
• Prabhjot Sidhu
• Satinder P. Sidhu, MD
• Sophia Devinder Sidhu, MS
• Ruth Sie, LAC
• Richard Marshall Siebold, M.D.
• Sarah Siebold, IBCLC
• Robin Louise Siegal, LCSW
• Adam Brian Siegel, RADT

• Social Worker in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2022; 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.