Provider Demographics
NPI:1124360516
Name:LANCASTER, ANTOINETTE (LPC, NCC, MAC)
Entity Type:Individual
Prefix:
First Name:ANTOINETTE
Middle Name:
Last Name:LANCASTER
Suffix:
Gender:F
Credentials:LPC, NCC, MAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14303 KENLON LN
Mailing Address - Street 2:
Mailing Address - City:ACCOKEEK
Mailing Address - State:MD
Mailing Address - Zip Code:20607-3745
Mailing Address - Country:US
Mailing Address - Phone:240-388-7795
Mailing Address - Fax:240-388-7795
Practice Address - Street 1:1629 K ST NW
Practice Address - Street 2:SUITE 300
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20006-1602
Practice Address - Country:US
Practice Address - Phone:202-239-5563
Practice Address - Fax:240-204-8153
Is Sole Proprietor?:Yes
Enumeration Date:2013-03-23
Last Update Date:2014-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCCACII1131101YA0400X
DCPRC14152101YP2500X
MDLC5764101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)