Healthcare Provider Details

I. General information

NPI: 1538923362
Provider Name (Legal Business Name): ZOIA PODOROZHNA M.A., M.ED.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/12/2024
Last Update Date: 05/02/2025
Certification Date: 05/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9211 CORPORATE BLVD STE 270
ROCKVILLE MD
20850-3856
US

IV. Provider business mailing address

4515 WILLARD AVE APT 1503S
CHEVY CHASE MD
20815-3661
US

V. Phone/Fax

Practice location:
  • Phone: 301-944-9065
  • Fax:
Mailing address:
  • Phone: 240-234-3549
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberLGP16415
License Number StateMD
# 2
Primary TaxonomyN
Taxonomy Code102L00000X
TaxonomyPsychoanalyst
License Number48PA00005900
License Number StateNJ
# 3
Primary TaxonomyN
Taxonomy Code102L00000X
TaxonomyPsychoanalyst
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: