Individual provider · Type 1 NPI

Maryam Khansari, LCSW

Clinical Social Worker · Bronx, NY

NPI number 1194856526 Active

Practice location

2021 Grand Concourse
Bronx, NY 10453-4304

Call (717) 960-0313 Map

Mailing address

250 S End Ave Apt 6H
New York, NY 10280-1076

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XR052749-1 (NY)

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1194856526

Maryam Khansari, LCSW's National Provider Identifier is 1194856526, issued on Mar 8, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Bronx, NY. The record was last updated on Jul 8, 2007.