Provider Demographics
NPI:1598002404
Name:ZANSKAS, SCOTT J (LMSW, LICSW)
Entity Type:Individual
Prefix:
First Name:SCOTT
Middle Name:J
Last Name:ZANSKAS
Suffix:
Gender:M
Credentials:LMSW, LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1125 15TH ST NW
Mailing Address - Street 2:8TH FLOOR
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20005-2721
Mailing Address - Country:US
Mailing Address - Phone:202-870-4720
Mailing Address - Fax:202-730-1842
Practice Address - Street 1:1125 15TH ST NW
Practice Address - Street 2:8TH FLOOR
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20005-2721
Practice Address - Country:US
Practice Address - Phone:202-870-4720
Practice Address - Fax:202-730-1842
Is Sole Proprietor?:No
Enumeration Date:2013-01-11
Last Update Date:2013-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCLC500797891041C0700X
MI68010904961041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical