Mariam Khalique, LCSW

Primary specialty

School Social WorkerTaxonomy code 1041S0200X

Practice address

71 W 23Rd St
Brightpoint Health- Headquarters
New York, NY 10010-4102

Phone

(718) 681-8700

NPI assigned

Oct 2, 2008

Last updated

Apr 18, 2017By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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)

Enrolled

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

{
    "created_epoch": "1222905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492473600000",
    "number": "1679724132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "71 W 23RD ST",
            "address_2": "BRIGHTPOINT HEALTH- HEADQUARTERS",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100104102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "71 W 23RD ST",
            "address_2": "BRIGHTPOINT HEALTH- HEADQUARTERS",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100104102",
            "telephone_number": "718-681-8700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHALIQUE",
        "first_name": "MARIAM",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-10-02",
        "last_updated": "2017-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": "LCSW-R",
            "primary": false
        },
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lyell Isaac Khalili
• Matanel Khalili
• Tali Tova Khalili
• Ali Khaliq
• Asma Khaliq, M.D.
• Omar Kamaal Khalique, MD
• Shaleha Khalique, RN
• Seba Khalousi
• Sacha Khaloyan, OTR/L
• Saker Khamaisy, M.D.

• School Social Worker in New York, NY
• Providers in New York, NY by specialty
• School Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2017; 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.