Healthcare Provider Details

I. General information

NPI: 1225613771
Provider Name (Legal Business Name): KATHERINE STEADMAN LCPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: KATHERINE POTRYKUS LCPC

II. Dates (important events)

Enumeration Date: 03/16/2021
Last Update Date: 08/25/2026
Certification Date: 08/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6411 ORCHARD AVE
TAKOMA PARK MD
20912-4712
US

IV. Provider business mailing address

271 HANCOCK ST
TIVERTON RI
02878-2356
US

V. Phone/Fax

Practice location:
  • Phone: 240-554-5911
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberLC12910
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: