Healthcare Provider Details

I. General information

NPI: 1710229653
Provider Name (Legal Business Name): ZAKIYYAH FRANCISCO LICSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/18/2013
Last Update Date: 06/02/2021
Certification Date: 06/02/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1629 K ST NW
WASHINGTON DC
20006-1602
US

IV. Provider business mailing address

3678 ALPEN GREEN WAY
BURTONSVILLE MD
20866-1906
US

V. Phone/Fax

Practice location:
  • Phone: 202-596-5951
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberLC50079503
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: