Healthcare Provider Details

I. General information

NPI: 1215635370
Provider Name (Legal Business Name): ZAHANARA AKTAR LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/20/2023
Last Update Date: 09/24/2026
Certification Date: 09/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9841 WASHINGTONIAN BLVD STE 200-1167
GAITHERSBURG MD
20878-5389
US

IV. Provider business mailing address

418 BROADWAY STE R
ALBANY NY
12207-2922
US

V. Phone/Fax

Practice location:
  • Phone: 551-571-0017
  • Fax:
Mailing address:
  • Phone: 551-571-0017
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number29581
License Number StateMD
# 2
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number117438
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: