Healthcare Provider Details

I. General information

NPI: 1033037791
Provider Name (Legal Business Name): ALLYSON C. SHAFFER MSW, LICSW, LCSW-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/08/2026
Last Update Date: 07/08/2026
Certification Date: 07/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

ALLYSON C SHAFFER CUA O'BOYLE 620 MICHIGAN AVE NE
WASHINGTON DC
20064-0001
US

IV. Provider business mailing address

ALLYSON C SHAFFER CUA PRYZBYLA 353 620 MICHIGAN AVE NE
WASHINGTON DC
20064-0001
US

V. Phone/Fax

Practice location:
  • Phone: 202-319-5619
  • Fax:
Mailing address:
  • Phone: 202-319-5619
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number12452
License Number StateMD
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number12452
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: