Provider Demographics
NPI:1386857787
Name:SHAIKH, KHALIQ A (LMSW)
Entity Type:Individual
Prefix:MR
First Name:KHALIQ
Middle Name:A
Last Name:SHAIKH
Suffix:
Gender:M
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:97-30 106TH STREET
Mailing Address - Street 2:
Mailing Address - City:OZONE PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11416
Mailing Address - Country:US
Mailing Address - Phone:718-701-4956
Mailing Address - Fax:
Practice Address - Street 1:606 WINTHROP STREET
Practice Address - Street 2:KINGS COUNTY HOSPITAL CENTER (GBLDG - RM 118)
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11203
Practice Address - Country:US
Practice Address - Phone:718-245-2256
Practice Address - Fax:718-245-2416
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY070690104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker