Individual provider · Type 1 NPI

Khatima Shah, LCSW

Clinical Social Worker · South Ozone Park, NY

NPI number 1215108014 Active

Practice location

13359 116th St
South Ozone Park, NY 11420-3112

Fax (718) 848-5952

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X074145-1 (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 1215108014

Khatima Shah, LCSW's National Provider Identifier is 1215108014, issued on Mar 19, 2008. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in South Ozone Park, NY. The record was last updated on Mar 19, 2008.