Provider Demographics
NPI:1013305309
Name:ABDUR-RAHMAN, RASHEEDA SADIQUA (MSW)
Entity Type:Individual
Prefix:
First Name:RASHEEDA
Middle Name:SADIQUA
Last Name:ABDUR-RAHMAN
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:RASHEEDA
Other - Middle Name:SADIQUA
Other - Last Name:SAA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSW
Mailing Address - Street 1:1492 RIVERROCK CT
Mailing Address - Street 2:
Mailing Address - City:RIVERDALE
Mailing Address - State:GA
Mailing Address - Zip Code:30296-1174
Mailing Address - Country:US
Mailing Address - Phone:404-910-2952
Mailing Address - Fax:
Practice Address - Street 1:8484 HIGHWAY 85
Practice Address - Street 2:
Practice Address - City:JONESBORO
Practice Address - State:GA
Practice Address - Zip Code:30238-4308
Practice Address - Country:US
Practice Address - Phone:678-788-7400
Practice Address - Fax:678-954-6896
Is Sole Proprietor?:No
Enumeration Date:2015-01-08
Last Update Date:2015-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACSW005258104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker