Provider Demographics
NPI:1235888231
Name:KHAN, ZAHRAH (LCSW)
Entity type:Individual
Prefix:
First Name:ZAHRAH
Middle Name:
Last Name:KHAN
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9562 KINGS CHARTER DR STE 102
Mailing Address - Street 2:
Mailing Address - City:ASHLAND
Mailing Address - State:VA
Mailing Address - Zip Code:23005-8206
Mailing Address - Country:US
Mailing Address - Phone:804-238-6643
Mailing Address - Fax:
Practice Address - Street 1:9562 KINGS CHARTER DR STE 102
Practice Address - Street 2:
Practice Address - City:ASHLAND
Practice Address - State:VA
Practice Address - Zip Code:23005-8206
Practice Address - Country:US
Practice Address - Phone:804-238-6643
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-03-18
Last Update Date:2024-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA9060072811041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical