Healthcare Provider Details

I. General information

NPI: 1720776818
Provider Name (Legal Business Name): KATHERINE MCCAULEY-MORROW LCPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/26/2023
Last Update Date: 07/02/2026
Certification Date: 07/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4520 LORDS LANDING RD APT 303
UPPER MARLBORO MD
20772-2931
US

IV. Provider business mailing address

4520 LORDS LANDING RD APT 303
UPPER MARLBORO MD
20772-2931
US

V. Phone/Fax

Practice location:
  • Phone: 410-979-2633
  • Fax:
Mailing address:
  • Phone: 410-979-2633
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberLC14488
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: