Provider Demographics
NPI:1811939804
Name:WASHINGTON, MELODY (LCSW-C)
Entity type:Individual
Prefix:
First Name:MELODY
Middle Name:
Last Name:WASHINGTON
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 1:2816 SAINT MARYS VIEW RD
Mailing Address - Street 2:
Mailing Address - City:ACCOKEEK
Mailing Address - State:MD
Mailing Address - Zip Code:20607-3767
Mailing Address - Country:US
Mailing Address - Phone:240-604-7235
Mailing Address - Fax:301-583-1184
Practice Address - Street 1:2816 SAINT MARYS VIEW RD
Practice Address - Street 2:
Practice Address - City:ACCOKEEK
Practice Address - State:MD
Practice Address - Zip Code:20607-3767
Practice Address - Country:US
Practice Address - Phone:240-604-7235
Practice Address - Fax:301-583-1184
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-12
Last Update Date:2025-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
1041S0200X
MD125101041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No1041S0200XBehavioral Health & Social Service ProvidersSocial WorkerSchool
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD12510OtherSTATE LICENSE