Healthcare Provider Details

I. General information

NPI: 1104419829
Provider Name (Legal Business Name): SHARIKA WASHINGTON LMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/12/2021
Last Update Date: 08/01/2022
Certification Date: 08/01/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1221 W BEN WHITE BLVD STE 210A
AUSTIN TX
78704-7182
US

IV. Provider business mailing address

600 W PARK ROW DR STE A
ARLINGTON TX
76010-2559
US

V. Phone/Fax

Practice location:
  • Phone: 512-960-4533
  • Fax:
Mailing address:
  • Phone: 214-642-2769
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number220041797
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number68967
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: