Provider Demographics
NPI:1376742387
Name:SHANAA, NAJIYA (MSW, LICSW)
Entity Type:Individual
Prefix:MS
First Name:NAJIYA
Middle Name:
Last Name:SHANAA
Suffix:
Gender:F
Credentials:MSW, LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1737 KILBOURNE PL NW
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20010-3611
Mailing Address - Country:US
Mailing Address - Phone:202-790-4425
Mailing Address - Fax:
Practice Address - Street 1:1737 KILBOURNE PL NW
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20010-3611
Practice Address - Country:US
Practice Address - Phone:202-790-4425
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-11
Last Update Date:2022-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCLC500777111041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD13070OtherCLINICAL SOCIAL WORK LICENSE
VA0904006269OtherCLINICAL SOCIAL WORKER (LCSW)