Irina Katz
Individual provider Active NPI Counselor · North Potomac, MD
NPI 1154814705 · NPPES record last updated Jan 17, 2023
Key facts
- NPI
- 1154814705
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Counselor 101Y00000X
- License
- LC50081682 (DC)
- Practice address
- 11504 Piney Lodge Rd
North Potomac, MD 20878-2444 - Phone
- (202) 854-9812
- NPI assigned
- Jun 8, 2018
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LC50081682 | DC | MD | Counselor |
| 149020587 | IL | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 149020587 | IL | |
| Counselor | 101Y00000X | LC50081682 | DC | Yes |
Addresses
Primary practice location
11504 Piney Lodge Rd
North Potomac, MD 20878-2444
Mailing address
11504 Piney Lodge Rd
North Potomac, MD 20878
Phone (202) 854-9812
Other providers in North Potomac, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 17, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.