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Fazeeda Abdur-Rahman, PH.D., LCSW

NPI 1063608339ActiveIndividual· Social Worker, Clinical· Fresh Meadows, NY

Social Worker, Clinical (PH.D., LCSW) in Fresh Meadows, New York, licensed in NY and NJ, with an NPI issued in September 2007.

Overview

NPI1063608339
StatusActive
Entity typeIndividual
CredentialPH.D., LCSW
Sole proprietorNo
NPI issuedSep 20, 2007
Last updated in NPPESJun 26, 2023
Certified by providerJun 26, 2023

Specialties and licenses

TaxonomyCodeLicenseState
Social Worker, Clinical Primary1041C0700X087518-1NY
Social Worker, Clinical1041C0700X44SC06201900NJ

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 4, 2026No match—
New York OMIG · Nov 4, 2026No match—
Ohio Medicaid · Nov 4, 2026No match—
Pennsylvania Medicheck · Nov 4, 2026No match—
Washington HCA · Nov 4, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other Social Worker, Clinical providers in Fresh Meadows

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