Provider Demographics
NPI:1023523214
Name:KHURSHID, LUBNA JAWAID (LCSW)
Entity type:Individual
Prefix:
First Name:LUBNA
Middle Name:JAWAID
Last Name:KHURSHID
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5637 GRACIE LN
Mailing Address - Street 2:
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75035-0666
Mailing Address - Country:US
Mailing Address - Phone:682-667-4506
Mailing Address - Fax:
Practice Address - Street 1:13016 TWELVE OAKS AVE
Practice Address - Street 2:
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75035-1065
Practice Address - Country:US
Practice Address - Phone:682-776-4506
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-12-09
Last Update Date:2021-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
543291041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical