Sidrah S Khan, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

72092550 Issued in NY

Practice address

242 N 8TH St Ste 200
Boise, ID 83702

Phone

(208) 447-9526

NPI assigned

Sep 9, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Sidrah S Khan, Licensed Clinical Social Worker, Inc

  • Social Worker
  • Los Angeles, CA
  • NPI 1083341291
  NPD Authorized official
• Sidrah Khan Psychotherapy PC

  • Clinical Social Worker
  • Boise, ID
  • NPI 1114419678
  NPD (past) Authorized official

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

{
    "created_epoch": "1410220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538352000000",
    "number": "1386045433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4714 N NYSTROM PL",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837132522",
            "telephone_number": "208-447-9526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "242 N 8TH ST STE 200",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "83702",
            "telephone_number": "208-447-9526"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "242 N 8th St Ste 200",
            "address_purpose": "LOCATION",
            "city": "Boise",
            "state": "ID",
            "postal_code": "83702",
            "country_code": "US",
            "telephone_number": "208-447-9526",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KHAN",
        "first_name": "SIDRAH",
        "middle_name": "S",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-09",
        "last_updated": "2018-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "72092550",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "092550",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelcee Keyes
• Kimberly R Keys, LCPC, CS
• Tony D Keys, M.D.
• Keystone Center for Geriatrics LLC
• Abdul Khan
• Lynnette Michelle Khandaker, APRN-NP
• Reema Arun Khanolkar
• Mona Fouad Khashan
• Kenneth George Khatain, M.D.
• Natalia Khochay, NP

• Clinical Social Worker in Boise, ID
• Providers in Boise, ID by specialty
• Clinical Social Worker in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2018; 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.