Healthcare Provider Details

I. General information

NPI: 1679782544
Provider Name (Legal Business Name): KATHLEEN MOROTTI LPC, LCDAC, ADTR
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/21/2007
Last Update Date: 06/02/2025
Certification Date: 06/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4781 KEARNEYSVILLE PIKE
SHEPHERDSTOWN WV
25443-4666
US

IV. Provider business mailing address

PO BOX 192
SHEPHERDSTOWN WV
25443-0192
US

V. Phone/Fax

Practice location:
  • Phone: 304-876-3500
  • Fax:
Mailing address:
  • Phone: 304-876-3500
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number1569
License Number StateWV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: