Shaji Zachariah, MSW, LICSW, LCSW-C

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LC50079657 Issued in DC

Practice address

770 M St SE
Washington, DC 20003-3609

Phone

(202) 657-7694

NPI assigned

Dec 11, 2018

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Mr. Shaji Zachariah Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1544486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544486400000",
    "number": "1508337882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2739 SWEET CLOVER CT",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209041884",
            "telephone_number": "202-657-7694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "770 M ST SE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200033609",
            "telephone_number": "202-657-7694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZACHARIAH",
        "first_name": "SHAJI",
        "credential": "MSW, LICSW, LCSW-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-12-11",
        "last_updated": "2018-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "DC",
            "license": "LC50079657",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHAJI",
            "last_name": "ZACHARIAH",
            "prefix": "MR.",
            "credential": "MSW, LICSW, LCSW-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Clinical Social Worker in Washington, DC
• Providers in Washington, DC by specialty
• Clinical Social Worker in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.