Provider Demographics
NPI:1629489034
Name:AHMEDJANOVA, ZUMRAD (MA, MSW, LCSWA, LCAS)
Entity Type:Individual
Prefix:
First Name:ZUMRAD
Middle Name:
Last Name:AHMEDJANOVA
Suffix:
Gender:F
Credentials:MA, MSW, LCSWA, LCAS
Other - Prefix:
Other - First Name:ZUMRAT
Other - Middle Name:
Other - Last Name:AHMEDJANOVA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:522 COLONY WOODS DR
Mailing Address - Street 2:
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27517-7910
Mailing Address - Country:US
Mailing Address - Phone:919-259-0199
Mailing Address - Fax:
Practice Address - Street 1:522 COLONY WOODS DR
Practice Address - Street 2:
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27517-7910
Practice Address - Country:US
Practice Address - Phone:919-259-0199
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-05-20
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101Y00000X, 104100000X
NCLCAS-2410101YA0400X
NCP009164101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No104100000XBehavioral Health & Social Service ProvidersSocial Worker