Provider Demographics
NPI:1992570170
Name:ZWERDLING, JOLILLIAN
Entity type:Individual
Prefix:
First Name:JOLILLIAN
Middle Name:
Last Name:ZWERDLING
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 1:3903 DAVIS PL NW APT 202
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20007-1230
Mailing Address - Country:US
Mailing Address - Phone:240-462-1946
Mailing Address - Fax:
Practice Address - Street 1:5039 CONNECTICUT AVE NW STE 5
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20008-2056
Practice Address - Country:US
Practice Address - Phone:202-237-1196
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-11-17
Last Update Date:2023-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY093098-011041C0700X
DCLC2000028861041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical