Provider Demographics
NPI:1124844683
Name:VAHID, MUHAMMED (LMSW)
Entity type:Individual
Prefix:
First Name:MUHAMMED
Middle Name:
Last Name:VAHID
Suffix:
Gender:M
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:75 GLEN RD STE G03
Mailing Address - Street 2:
Mailing Address - City:SANDY HOOK
Mailing Address - State:CT
Mailing Address - Zip Code:06482-1197
Mailing Address - Country:US
Mailing Address - Phone:203-837-6270
Mailing Address - Fax:
Practice Address - Street 1:75 GLEN RD
Practice Address - Street 2:
Practice Address - City:SANDY HOOK
Practice Address - State:CT
Practice Address - Zip Code:06482-1170
Practice Address - Country:US
Practice Address - Phone:203-837-6270
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-12-02
Last Update Date:2024-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT9932104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker