Provider Demographics
NPI:1275718397
Name:RAHMAN, INSHA BEGUM (LCSW)
Entity Type:Individual
Prefix:MS
First Name:INSHA
Middle Name:BEGUM
Last Name:RAHMAN
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 1:11676 CHENAULT ST APT 20
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90049-4583
Mailing Address - Country:US
Mailing Address - Phone:310-476-4750
Mailing Address - Fax:
Practice Address - Street 1:11676 CHENAULT ST APT 20
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90049-4583
Practice Address - Country:US
Practice Address - Phone:310-476-4750
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-08
Last Update Date:2008-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA237181041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical