Healthcare Provider Details

I. General information

NPI: 1619249661
Provider Name (Legal Business Name): KATHERINE CHURN CASHIN LCPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: KATHERINE CHURN

II. Dates (important events)

Enumeration Date: 02/07/2012
Last Update Date: 05/07/2026
Certification Date: 05/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6500 FALLS RD STE 100
BALTIMORE MD
21209-2036
US

IV. Provider business mailing address

4 WENDSLOW PL
LUTHERVILLE MD
21093-5823
US

V. Phone/Fax

Practice location:
  • Phone: 301-679-0239
  • Fax:
Mailing address:
  • Phone: 301-679-0239
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberLC5759
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: