Healthcare Provider Details

I. General information

NPI: 1134073018
Provider Name (Legal Business Name): ALIGNED ROOTS & RENEWAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/25/2026
Last Update Date: 02/25/2026
Certification Date: 02/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

502 MATTAWOMAN WAY
ACCOKEEK MD
20607-3430
US

IV. Provider business mailing address

502 MATTAWOMAN WAY
ACCOKEEK MD
20607-3430
US

V. Phone/Fax

Practice location:
  • Phone: 301-265-6361
  • Fax:
Mailing address:
  • Phone: 301-265-6361
  • Fax:

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: KERSHUNDA LAFAYE WASHINGTON
Title or Position: CLINICAL SOCIAL WORKER
Credential: LCSW-C, LCSW
Phone: 301-265-6361