Individual provider Active NPI

Miah Khan, LCSW

  • Clinical Social Worker
  • New York, NY
National Provider Identifier
1851068290
Registry record updated Jan 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
099055 Issued in NY
Practice address
356 W 18TH St
New York, NY 10011-4401
Phone
(631) 303-9125
NPI assigned
Aug 24, 2021
Sex
Unspecified or another gender identity
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 7, 2025

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 099055 NY Primary

Addresses

Primary practice location

356 W 18TH St
New York, NY 10011-4401

Mailing address

81 Sterling PL Apt 1
Brooklyn, NY 11217-3313
Phone (631) 303-9125

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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

Enrollment IDStateProvider typePAC IDDetails
I20251231000915 NY Practitioner - Clinical Social Worker 6507375318 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2021
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

356 W 18TH St
New York, NY 10011-4401

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health Project Inc. Current Accepting new patients
Community Health Project Inc. CurrentSince Oct 25, 2025 Accepting new patients
Community Health Project Inc. CurrentSince Oct 25, 2025 Accepting new patients
Community Health Project Inc. Past Accepting new patients
Community Health Project Inc. Past Accepting new patients

Locations

40 Flatbush Avenue Ext
Fl 3
Brooklyn, NY 11201
Phone (212) 271-7191

356 W 18th St
Fl 6
New York, NY 10011
Phone (212) 271-7167

356 W 18th St
Ste 6
New York, NY 10011

356 W 18th St
New York, NY 10011

Organizations & group practices 5

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": "1629763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736208000000",
    "number": "1851068290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "81 STERLING PL APT 1",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112173313",
            "telephone_number": "631-303-9125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "356 W 18TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100114401",
            "telephone_number": "631-303-9125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAN",
        "first_name": "MIAH",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "X",
        "enumeration_date": "2021-08-24",
        "last_updated": "2025-01-07",
        "certification_date": "2025-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "099055",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.