Provider Demographics
NPI:1215676846
Name:ZEPKA, CHRISTINE L (LICSW)
Entity type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:L
Last Name:ZEPKA
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:908 NEW HAMPSHIRE AVE NW STE 601
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20037-2354
Mailing Address - Country:US
Mailing Address - Phone:202-599-4544
Mailing Address - Fax:
Practice Address - Street 1:908 NEW HAMPSHIRE AVE NW STE 601
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20037-2354
Practice Address - Country:US
Practice Address - Phone:202-599-4544
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-06-01
Last Update Date:2022-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCLC500804731041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical