Healthcare Provider Details

I. General information

NPI: 1417346073
Provider Name (Legal Business Name): ZINA WILLIAMS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/20/2015
Last Update Date: 06/27/2023
Certification Date: 06/27/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3000 PENNSYLVANIA AVE SE
WASHINGTON DC
20020-3718
US

IV. Provider business mailing address

2043 38TH ST SE
WASHINGTON DC
20020-2401
US

V. Phone/Fax

Practice location:
  • Phone: 202-581-0490
  • Fax: 202-581-0496
Mailing address:
  • Phone: 202-327-1455
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License NumberADD14187
License Number StateDC
# 2
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: