Provider Demographics
NPI:1861708406
Name:KHAN, THAMREEN SIDDIQUI (LMSW)
Entity type:Individual
Prefix:MS
First Name:THAMREEN
Middle Name:SIDDIQUI
Last Name:KHAN
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 1:584 CAMBRIDGE WAY
Mailing Address - Street 2:
Mailing Address - City:BLOOMFIELD HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48304-3816
Mailing Address - Country:US
Mailing Address - Phone:947-888-6023
Mailing Address - Fax:
Practice Address - Street 1:584 CAMBRIDGE WAY
Practice Address - Street 2:
Practice Address - City:BLOOMFIELD HILLS
Practice Address - State:MI
Practice Address - Zip Code:48304-3816
Practice Address - Country:US
Practice Address - Phone:947-888-6023
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-08-20
Last Update Date:2021-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker