Provider Demographics
NPI:1508337882
Name:ZACHARIAH, SHAJI (MSW, LICSW, LCSW-C)
Entity Type:Individual
Prefix:
First Name:SHAJI
Middle Name:
Last Name:ZACHARIAH
Suffix:
Gender:M
Credentials:MSW, LICSW, LCSW-C
Other - Prefix:MR
Other - First Name:SHAJI
Other - Middle Name:
Other - Last Name:ZACHARIAH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSW, LICSW, LCSW-C
Mailing Address - Street 1:2739 SWEET CLOVER CT
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20904-1884
Mailing Address - Country:US
Mailing Address - Phone:202-657-7694
Mailing Address - Fax:
Practice Address - Street 1:770 M ST SE
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20003-3609
Practice Address - Country:US
Practice Address - Phone:202-657-7694
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-12-11
Last Update Date:2018-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCLC500796571041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical