Healthcare Provider Details

I. General information

NPI: 1003742396
Provider Name (Legal Business Name): NEW ENGLAND ZEN
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/23/2026
Last Update Date: 06/23/2026
Certification Date: 06/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14 RIDGE SQ NW STE 342
WASHINGTON DC
20016-2992
US

IV. Provider business mailing address

14 RIDGE SQ NW STE 342
WASHINGTON DC
20016-2992
US

V. Phone/Fax

Practice location:
  • Phone: 202-415-8197
  • Fax: 202-798-1183
Mailing address:
  • Phone: 202-415-8197
  • Fax: 202-798-1183

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: MS. MIZUKI KOJIMA
Title or Position: DIRECTOR
Credential: LICSW
Phone: 202-415-8197