Healthcare Provider Details

I. General information

NPI: 1811939804
Provider Name (Legal Business Name): MELODY WASHINGTON LCSW-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/12/2006
Last Update Date: 08/26/2025
Certification Date: 08/26/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2816 SAINT MARYS VIEW RD
ACCOKEEK MD
20607-3767
US

IV. Provider business mailing address

2816 SAINT MARYS VIEW RD
ACCOKEEK MD
20607-3767
US

V. Phone/Fax

Practice location:
  • Phone: 240-604-7235
  • Fax: 301-583-1184
Mailing address:
  • Phone: 240-604-7235
  • Fax: 301-583-1184

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number12510
License Number StateMD
# 2
Primary TaxonomyN
Taxonomy Code1041S0200X
TaxonomySchool Social Worker
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: