Individual provider Active NPI

Mehr Khan Niazi, LCSW

  • Clinical Social Worker
  • Richmond, VA
National Provider Identifier
1770957508
Registry record updated Nov 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904009030 Issued in VA
Practice address
1601 Rolling Hills Dr
Richmond, VA 23229-5011
Phone
(804) 545-5929
Fax
(804) 272-6355
NPI assigned
Nov 17, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 0904009030 VA Primary

Addresses

Primary practice location

1601 Rolling Hills Dr
Richmond, VA 23229-5011

Mailing address

8711 Butterfield Ave
Richmond, VA 23229-8125
Phone (804) 545-5929

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
0904009030VAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Saffron Integrative Counseling CurrentSince Jun 23, 2024 Accepting new patients
Commonwealth Catholic Charities PastSince Oct 20, 2015 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1447718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447718400000",
    "number": "1770957508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8711 BUTTERFIELD AVE",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232298125",
            "telephone_number": "804-545-5929",
            "fax_number": "804-272-6355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 ROLLING HILLS DR",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232295011",
            "telephone_number": "804-545-5929",
            "fax_number": "804-272-6355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIAZI",
        "first_name": "MEHR",
        "middle_name": "KHAN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-11-17",
        "last_updated": "2015-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904009030",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2015; 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.