Active NPIIndividual provider

Khalilah Abdulrahim

Social Worker, Clinical in Woodbridge, Connecticut

NPI Number1063087914
Practice location
30 Hazel Ter Ste 20, Woodbridge, CT 06525-2240
Fax
—
Last updated
January 19, 2022

Khalilah Abdulrahim is a Social Worker, Clinical based in Woodbridge, CT. Khalilah Abdulrahim practices in Woodbridge, CT. The NPI Number for Khalilah Abdulrahim is 1063087914 and holds a License No. 58.011451 (CT). The current practice location address for Khalilah Abdulrahim is 30 Hazel Ter Ste 20, Woodbridge, CT 06525-2240 and can be reached out via phone at 203-619-1870.

Provider Profile Details

NPI Number
1063087914
Provider Name
Khalilah Abdulrahim
Provider Entity Type
Individual
Gender
Female
Address
30 Hazel Ter Ste 20, Woodbridge, CT 06525-2240
Phone Number
203-619-1870
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
No
Provider Enumeration Date
May 24, 2021
Last Update Date
January 19, 2022
Certification Date
January 19, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
30 Hazel Ter Ste 20
Woodbridge, CT 06525-2240
Zip
06525-2240
Phone Number
203-619-1870
Woodbridge, CT 06525Get directions →

Provider Business Mailing Address Details

Address
40 Putnam Ave Unit 6685
Hamden, CT 06517-7728
City
Hamden
State
CT
Zip
06517-7728
Phone Number
203-619-1870

License Information

License Number
58.011451
License State
CT
Taxonomy
Social Worker, Clinical · 1041C0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

Other Social Worker, Clinical providers near Woodbridge, CT

View all Social Worker, Clinical providers in Woodbridge →

Frequently Asked Questions

What is the NPI number of Khalilah Abdulrahim?

The NPI number of Khalilah Abdulrahim is 1063087914. It was assigned on May 24, 2021 and is currently active in the NPPES registry.

What is the specialty of Khalilah Abdulrahim?

Khalilah Abdulrahim is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in CT under license number 58.011451.

Where does Khalilah Abdulrahim practice?

The practice location is 30 Hazel Ter Ste 20, Woodbridge, CT 06525-2240. The office can be reached at 203-619-1870 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1063087914 directly on the NPPES registry website.

Browse related providers