NPI 1063087914 · live from the CMS NPI Registry
Khalilah Abdulrahim
Social Worker, Clinical in Woodbridge, CT. National Provider Identifier 1063087914, active.
NPI record
| NPI | 1063087914 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Social Worker, Clinical 1041C0700X |
| Practice location | 30 Hazel Ter Ste 20, Woodbridge, CT 06525 |
| Practice phone | 203-619-1870 |
| Mailing address | 40 Putnam Ave Unit 6685, Hamden, CT 06517 |
| Enumerated | May 24, 2021 |
| Last updated | January 19, 2022 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Social Worker, Clinical primary | 1041C0700X | 58.011451 (CT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.