Provider Demographics
NPI:1710167796
Name:SCRIBNER, SHIRLEY (LCSW-C)
Entity Type:Individual
Prefix:
First Name:SHIRLEY
Middle Name:
Last Name:SCRIBNER
Suffix:
Gender:F
Credentials:LCSW-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3951 HARRISON ST NW
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20015-1937
Mailing Address - Country:US
Mailing Address - Phone:301-537-8434
Mailing Address - Fax:202-537-0531
Practice Address - Street 1:3001 WISCONSIN AVE NW
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20016-5006
Practice Address - Country:US
Practice Address - Phone:301-257-8434
Practice Address - Fax:202-537-0531
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-07
Last Update Date:2007-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCLC500777231041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical