Individual provider Active NPI

Oksana V. Zadorojnaya, LICSW, MSW, MSFS

  • Clinical Social Worker
  • Washington, DC
National Provider Identifier
1891002762
Registry record updated Sep 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LC50078943 Issued in DC
Practice address
1070 Thomas Jefferson St., NW
Suite 201
Washington, DC 20007
Phone
(202) 368-2146
Fax
(202) 337-7844
NPI assigned
Sep 13, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 13, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LC50078943 DC Primary

Addresses

Primary practice location

1070 Thomas Jefferson St., NW
Suite 201
Washington, DC 20007

Mailing address

1632 30TH St., NW
#9
Washington, DC 20007
Phone (202) 368-2146

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180522003006 DC Practitioner - Clinical Social Worker 1759646789 Practice locations: Washington, DC

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LC50078943DCMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1284336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1284336000000",
    "number": "1891002762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1632 30TH ST., NW",
            "address_2": "#9",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "20007",
            "telephone_number": "202-368-2146",
            "fax_number": "202-337-7844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1070 THOMAS JEFFERSON ST., NW",
            "address_2": "SUITE 201",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "20007",
            "telephone_number": "202-368-2146",
            "fax_number": "202-337-7844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZADOROJNAYA",
        "first_name": "OKSANA",
        "middle_name": "V.",
        "name_prefix": "Ms.",
        "credential": "LICSW, MSW, MSFS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-09-13",
        "last_updated": "2010-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "DC",
            "license": "LC50078943",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.