Provider Demographics
NPI:1538469317
Name:AMINI, SARAH MOHAJER (LCSW-C)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:MOHAJER
Last Name:AMINI
Suffix:
Gender:F
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 1:217 E TAYLOR RUN PKWY
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:VA
Mailing Address - Zip Code:22314-4944
Mailing Address - Country:US
Mailing Address - Phone:301-792-1297
Mailing Address - Fax:
Practice Address - Street 1:217 E TAYLOR RUN PKWY
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22314-4944
Practice Address - Country:US
Practice Address - Phone:301-792-1297
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-10-27
Last Update Date:2020-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD163881041C0700X
VA0904105081041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical