Shalisha Ava Vanderhorst, LICSW
Social Worker, Clinical in Washington, DC. Individual provider (NPI-1).
NPI number1982161295
StatusActive
Last updated in NPPESFeb 22, 2019
Details
- NPI
- 1982161295
- Entity type
- Individual (NPI-1)
- Name
- Shalisha Ava Vanderhorst
- Credential
- LICSW
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Feb 22, 2019
- Last updated
- Feb 22, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | LC50080936 | DC | Yes |
Practice location
50 Irving St NwWashington, DC 20422-0001
Phone 202-745-8000
Mailing address
1100 Snider LnSilver Spring, MD 20905-4160
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