Provider Demographics
NPI:1508523523
Name:ZINKGRAF, MOLLY MARGARET
Entity Type:Individual
Prefix:
First Name:MOLLY
Middle Name:MARGARET
Last Name:ZINKGRAF
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1440 CHAPIN ST NW APT 41
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20009-4535
Mailing Address - Country:US
Mailing Address - Phone:202-246-6497
Mailing Address - Fax:
Practice Address - Street 1:1018 MONROE ST NE
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20017-1760
Practice Address - Country:US
Practice Address - Phone:202-246-6497
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-11-24
Last Update Date:2021-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCLC2000015611041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical