Syma Khan, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW19691 Issued in FL

Practice address

3659 Eastbury Dr
Jacksonville, FL 32224-1659

Phone

(904) 599-3226

Fax

(904) 821-8050

NPI assigned

Apr 15, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

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.

• Thriving Minds PLLC

  • Clinical Social Worker
  • Jacksonville Beach, FL
  • NPI 1033901137
  Medicare reassignment NPD Authorized official
• Ateeque Khan, MD P.a.

  • Internal Medicine Physician
  • Jacksonville, FL
  • NPI 1457982977
  NPD
• Mindme LLC

  • Mental Health Counselor
  • Jacksonville, FL
  • NPI 1518670652
  NPD (past)

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

{
    "created_epoch": "1649980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649980800000",
    "number": "1699418996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3659 EASTBURY DR",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322241659",
            "telephone_number": "904-599-3226",
            "fax_number": "904-821-8050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3659 EASTBURY DR",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322241659",
            "telephone_number": "904-599-3226",
            "fax_number": "904-821-8050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAN",
        "first_name": "SYMA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-04-15",
        "last_updated": "2022-04-15",
        "certification_date": "2022-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW19691",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nimra Khan
• Saleha Khan, PHARMD
• Sarah Khan, MS, CGC
• Siddiqa K Khan, MD
• Sohail A Khan, PA
• Zane Khan, DDS
• Zoobia Zahra Khan, MD
• Sadiya A Khandker
• Parveen Khanna, MD
• Pradeep Khanna, M.D.

• Clinical Social Worker in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.