Provider Demographics
NPI:1710763701
Name:JAHANGIR, ANNIE SHARITA (LMSW)
Entity Type:Individual
Prefix:
First Name:ANNIE
Middle Name:SHARITA
Last Name:JAHANGIR
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 1:842 LELAND AVE APT C
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10473-2866
Mailing Address - Country:US
Mailing Address - Phone:646-926-6435
Mailing Address - Fax:
Practice Address - Street 1:842 LELAND AVE APT C
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10473-2866
Practice Address - Country:US
Practice Address - Phone:646-926-6435
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-09-05
Last Update Date:2023-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker