Provider Demographics
NPI:1699556464
Name:WASIMI, PARWIN TAHIR (LCSW)
Entity type:Individual
Prefix:
First Name:PARWIN
Middle Name:TAHIR
Last Name:WASIMI
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11898 VIA HACIENDA
Mailing Address - Street 2:
Mailing Address - City:EL CAJON
Mailing Address - State:CA
Mailing Address - Zip Code:92019-4097
Mailing Address - Country:US
Mailing Address - Phone:619-569-0214
Mailing Address - Fax:
Practice Address - Street 1:11898 VIA HACIENDA
Practice Address - Street 2:
Practice Address - City:EL CAJON
Practice Address - State:CA
Practice Address - Zip Code:92019-4097
Practice Address - Country:US
Practice Address - Phone:619-569-0214
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-10-09
Last Update Date:2023-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA817731041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical