Provider Demographics
NPI:1376919944
Name:JAHANSIR, AMIR (LCSW-C)
Entity Type:Individual
Prefix:MR
First Name:AMIR
Middle Name:
Last Name:JAHANSIR
Suffix:
Gender:M
Credentials:LCSW-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:325 ELLINGTON BLVD # 361
Mailing Address - Street 2:
Mailing Address - City:GAITHERSBURG
Mailing Address - State:MD
Mailing Address - Zip Code:20878-4591
Mailing Address - Country:US
Mailing Address - Phone:301-825-9392
Mailing Address - Fax:301-825-9392
Practice Address - Street 1:325 ELLINGTON BLVD # 361
Practice Address - Street 2:
Practice Address - City:GAITHERSBURG
Practice Address - State:MD
Practice Address - Zip Code:20878-4591
Practice Address - Country:US
Practice Address - Phone:301-825-9392
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-08-18
Last Update Date:2023-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA09040154361041C0700X
DCLG500806861041C0700X
MD193651041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical