Provider Demographics
NPI:1639750995
Name:AKHTAR, FARJANA (LMSW)
Entity Type:Individual
Prefix:
First Name:FARJANA
Middle Name:
Last Name:AKHTAR
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:856 43RD ST APT 6
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11232-4158
Mailing Address - Country:US
Mailing Address - Phone:929-338-8857
Mailing Address - Fax:
Practice Address - Street 1:856 43RD ST APT 6
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11232-4158
Practice Address - Country:US
Practice Address - Phone:929-338-8857
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-04-19
Last Update Date:2021-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY112257104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker