=====================================================
General NPI Number Information
=====================================================
NPI Number | 1124360516
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | ANTOINETTE LANCASTER LPC, LCPC, MAC
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 03/23/2013
-----------------------------------------------------
Last Update Date | 11/21/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 6178 OXON HILL RD STE 204
-----------------------------------------------------
City | OXON HILL
-----------------------------------------------------
State | MD
-----------------------------------------------------
Zip | 20745-3162
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 202-239-5563
-----------------------------------------------------
Fax | 240-204-8153
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 14303 KENLON LN
-----------------------------------------------------
City | ACCOKEEK
-----------------------------------------------------
State | MD
-----------------------------------------------------
Zip | 20607-3745
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 240-388-7795
-----------------------------------------------------
Fax | 240-388-7795
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 101YA0400X
-----------------------------------------------------
Taxonomy Name | Addiction (Substance Use Disorder) Counselor
-----------------------------------------------------
License Number | CACII1131
-----------------------------------------------------
License Number State | DC
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 101YP2500X
-----------------------------------------------------
Taxonomy Name | Professional Counselor
-----------------------------------------------------
License Number | LC5764
-----------------------------------------------------
License Number State | MD
-----------------------------------------------------
Taxonomy #3
-----------------------------------------------------
Taxonomy Code | 101YP2500X
-----------------------------------------------------
Taxonomy Name | Professional Counselor
-----------------------------------------------------
License Number | PRC14152
-----------------------------------------------------
License Number State | DC
-----------------------------------------------------