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DR. SAJJAD A KHAN PHD, LCSW
NPI 1194957704
Social Worker - Clinical in Herndon, VA

Active since August 14, 2009Opted out of Medicare · through Apr 15, 2028
106 ELDEN ST, SUITE 17, HERNDON, VA 20170(703) 787-9090(703) 787-8845 Get Directions Write a Review

NPPES record last updated: February 11, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Sajjad A Khan Phd, Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. SAJJAD A KHAN PHD, LCSW (NPI 1194957704) is an individual clinical provider in Herndon, Virginia, licensed in Virginia (0904007622) and active in the NPI registry since August 2009. He has opted out of Medicare through April 15, 2028.

NPPES Registry Identity

NPI1194957704
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameDR. SAJJAD A KHANCredential: PHD, LCSW
Location Address106 ELDEN ST, SUITE 17Herndon, VA 20170-4872
Mailing Address106 Elden St, Suite 17Herndon, VA 20170-4872 · (703) 787-9090 · Fax (703) 787-8845
Phone(703) 787-9090
Fax(703) 787-8845
Sole ProprietorNo
Enumeration DateAugust 14, 2009
Last NPPES UpdateFebruary 11, 2014
✔ NPI 1194957704 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in VA · 0904007622
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
106 ELDEN ST, Herndon, VA 20170
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Sajjad A Khan Phd, Lcsw has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 15, 2024 through April 15, 2028.

Opt-Out Effective DateApril 15, 2024
Opt-Out In Effect ThroughApril 15, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. KEITH EUGENE SAYLOR
Psychologist
106 ELDEN ST, SUITE 17
HERNDON, VA 20170
Fairfax County (703) 787-9090
DR. ERIN KARDEL PSY.D.
Psychologist
106 ELDEN ST, SUITE 17
HERNDON, VA 20170
Fairfax County (703) 787-9090
FAIRFAX RADIOLOGICAL CONSULTANTS PC
Specialist
106 ELDEN ST, STE 16
HERNDON, VA 20170
Fairfax County (703) 698-4483
PRIMARY CARE MEDICAL ASSOCIATES PC
Family Medicine (Adult Medicine)
106 ELDEN ST, SUITE 10
HERNDON, VA 20170
Fairfax County (703) 481-3131

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sajjad Khan's NPI number?

The NPI number for Sajjad Khan is 1194957704. It was assigned to this individual provider in the NPPES registry on August 14, 2009.

Where is Sajjad Khan located?

Sajjad Khan practices at 106 Elden St Suite 17, Herndon, VA 20170. The listed phone number is (703) 787-9090.

What is Sajjad Khan's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Sajjad Khan enrolled in Medicare?

No. Sajjad Khan has opted out of Medicare through April 15, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Sajjad Khan was last updated on February 11, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.