Healthcare Provider Details

I. General information

NPI: 1154023216
Provider Name (Legal Business Name): AKEA SHAINA DALEY MSA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/21/2023
Last Update Date: 09/03/2026
Certification Date: 09/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2041 MARTIN LUTHER KING JR AVE SE STE 205
WASHINGTON DC
20020-7026
US

IV. Provider business mailing address

7806 HUBBLE DR
LANHAM MD
20706-2493
US

V. Phone/Fax

Practice location:
  • Phone: 202-547-8450
  • Fax:
Mailing address:
  • Phone: 301-728-0412
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License NumberLG200003155
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: