Provider Demographics
NPI:1043894413
Name:PADGETT, KATHERINE (LGPC)
Entity Type:Individual
Prefix:
First Name:KATHERINE
Middle Name:
Last Name:PADGETT
Suffix:
Gender:F
Credentials:LGPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17765 CLARKE RD
Mailing Address - Street 2:
Mailing Address - City:TALL TIMBERS
Mailing Address - State:MD
Mailing Address - Zip Code:20690-2020
Mailing Address - Country:US
Mailing Address - Phone:240-577-9528
Mailing Address - Fax:
Practice Address - Street 1:1700 UNION AVE
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21211-1499
Practice Address - Country:US
Practice Address - Phone:443-582-9010
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-05-11
Last Update Date:2021-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor