Shireen Khan, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

097895 Issued in NY

Practice address

159 20TH St Ste 1B
Brooklyn, NY 11232-1254

Phone

(347) 692-8783

NPI assigned

Jun 6, 2023

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Azaadi Khan Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1686009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725840000000",
    "number": "1902590631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 CROOKE AVE APT 4B",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112269403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "159 20TH ST STE 1B",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112321254",
            "telephone_number": "347-692-8783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAN",
        "first_name": "SHIREEN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "U",
        "enumeration_date": "2023-06-06",
        "last_updated": "2024-09-09",
        "certification_date": "2024-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "097895",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "111894",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AZAADI",
            "last_name": "KHAN",
            "credential": "LCSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Shahbaz Khan
• Shahid Khan, LPN
• Shan M Khan, DMD
• Sharmeen Khan, LMSW
• Sher Khan
• Shumaila Khan, M.D.
• Shureba Khan
• Sultan Sikanderali Khan, MD
• Taha Fathima Khan, M.D.
• Tahir Khan, M.D.

• Clinical Social Worker in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2024; 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.