Amir Jahansir, LCSW-C

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

19365 Issued in MD

Practice address

325 Ellington Blvd # 361
Gaithersburg, MD 20878-4591

Phone

(301) 825-9392

NPI assigned

Aug 18, 2015

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1439856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697587200000",
    "number": "1376919944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 ELLINGTON BLVD # 361",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208784591",
            "telephone_number": "301-825-9392",
            "fax_number": "301-825-9392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 ELLINGTON BLVD # 361",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208784591",
            "telephone_number": "301-825-9392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAHANSIR",
        "first_name": "AMIR",
        "name_prefix": "Mr.",
        "credential": "LCSW-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-08-18",
        "last_updated": "2023-10-18",
        "certification_date": "2023-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904015436",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "DC",
            "license": "LG50080686",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "19365",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca Jacobs, LCSW - C
• Susan Marie Jagt
• Marie Jah
• Sahar Aslani Jahan, MD
• Farshid Jahanparast
• Christine Jahrling, LGPC
• Shailini Parikh Jain, MD
• Assiatu Agnes Jalloh
• Ishmaiel Jalloh
• Farnoush Jamali, M.D.

• Clinical Social Worker in Gaithersburg, MD
• Providers in Gaithersburg, MD by specialty
• Clinical Social Worker in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2023; 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.