Healthcare Provider Details

I. General information

NPI: 1780869552
Provider Name (Legal Business Name): MARIA CLAUDIA CAUTERUCCI LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/29/2007
Last Update Date: 05/10/2024
Certification Date: 05/10/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2121 1ST ST SW APT 334
WASHINGTON DC
20024-3565
US

IV. Provider business mailing address

2121 1ST ST SW APT 334
WASHINGTON DC
20024-3565
US

V. Phone/Fax

Practice location:
  • Phone: 202-429-4933
  • Fax: 202-429-0102
Mailing address:
  • Phone: 202-276-7095
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License NumberPRC13827
License Number StateDC
# 3
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberPRC13827
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: