Healthcare Provider Details

I. General information

NPI: 1215696570
Provider Name (Legal Business Name): ZINA CHARLES LCSW-C, LICSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/14/2021
Last Update Date: 08/26/2026
Certification Date: 08/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1328 FLORIDA AVE NW LBBY 2
WASHINGTON DC
20009-4827
US

IV. Provider business mailing address

1328 FLORIDA AVE NW LBBY 2
WASHINGTON DC
20009-4827
US

V. Phone/Fax

Practice location:
  • Phone: 202-350-1337
  • Fax:
Mailing address:
  • Phone: 202-350-1337
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number27611
License Number StateMD
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberLC200004184
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: