Healthcare Provider Details

I. General information

NPI: 1740849959
Provider Name (Legal Business Name): SABIHA ZAMAN LICSW, LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/11/2019
Last Update Date: 02/18/2026
Certification Date: 02/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6356 RACETEC PL
SPRINGFIELD VA
22150-1187
US

IV. Provider business mailing address

6356 RACETEC PL
SPRINGFIELD VA
22150-1187
US

V. Phone/Fax

Practice location:
  • Phone: 617-214-2424
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number0904019043
License Number StateVA
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberLICSW124364
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: