Provider Demographics
NPI:1891002762
Name:ZADOROJNAYA, OKSANA V (LICSW, MSW, MSFS)
Entity Type:Individual
Prefix:MS
First Name:OKSANA
Middle Name:V
Last Name:ZADOROJNAYA
Suffix:
Gender:F
Credentials:LICSW, MSW, MSFS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1632 30TH ST., NW
Mailing Address - Street 2:#9
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20007
Mailing Address - Country:US
Mailing Address - Phone:202-368-2146
Mailing Address - Fax:202-337-7844
Practice Address - Street 1:1070 THOMAS JEFFERSON ST., NW
Practice Address - Street 2:SUITE 201
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20007
Practice Address - Country:US
Practice Address - Phone:202-368-2146
Practice Address - Fax:202-337-7844
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-13
Last Update Date:2010-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCLC500789431041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical