Provider Demographics
NPI:1306511233
Name:SAKHAWAT, TAUFIKA H (LSW)
Entity type:Individual
Prefix:
First Name:TAUFIKA
Middle Name:H
Last Name:SAKHAWAT
Suffix:
Gender:F
Credentials:LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:303 PRESERVE LN
Mailing Address - Street 2:
Mailing Address - City:MACEDONIA
Mailing Address - State:OH
Mailing Address - Zip Code:44056-1794
Mailing Address - Country:US
Mailing Address - Phone:732-322-7609
Mailing Address - Fax:
Practice Address - Street 1:303 PRESERVE LN
Practice Address - Street 2:
Practice Address - City:MACEDONIA
Practice Address - State:OH
Practice Address - Zip Code:44056-1794
Practice Address - Country:US
Practice Address - Phone:732-322-7609
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-08-12
Last Update Date:2021-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHS.18027321041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical