KAITLIN WIDERMAN LCPC
NPI 1295151215
Counselor - Mental Health in Elkton, MD

Active since March 14, 2014
200 BOOTH ST, ELKTON, MD 21921(410) 996-3400 Get Directions Write a Review

NPPES record last updated: January 9, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Kaitlin Widerman Lcpc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KAITLIN WIDERMAN LCPC (NPI 1295151215) is an individual mental health provider in Elkton, Maryland, licensed in Maryland (LC6805) and active in the NPI registry since March 2014.

NPPES Registry Identity

NPI1295151215
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameKAITLIN WIDERMANCredential: LCPC
Location Address200 BOOTH STElkton, MD 21921-5657
Mailing Address4708 Caleb Wood DrMount Airy, MD 21771-4951 · (410) 967-5579
Sole ProprietorNo
Enumeration DateMarch 14, 2014
Last NPPES UpdateJanuary 9, 2025
NPPES CertifiedJanuary 9, 2025
NPI 1295151215 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License Licensed in MD · LC6805
200 BOOTH ST, Elkton, MD 21921

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor
200 BOOTH ST
ELKTON, MD 21921
Social Worker (Clinical)
200 BOOTH ST
ELKTON, MD 21921
Counselor (School)
200 BOOTH ST
ELKTON, MD 21921
Counselor (Mental Health)
200 BOOTH ST
ELKTON, MD 21921
Social Worker
200 BOOTH ST
ELKTON, MD 21921
Social Worker
200 BOOTH ST
ELKTON, MD 21921
Social Worker
200 BOOTH ST
ELKTON, MD 21921
Social Worker (Clinical)
200 BOOTH ST
ELKTON, MD 21921

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kaitlin Widerman's NPI number?

The NPI number for Kaitlin Widerman is 1295151215. It was assigned to this individual provider in the NPPES registry on March 14, 2014.

Where is Kaitlin Widerman located?

Kaitlin Widerman practices at 200 Booth St, Elkton, MD 21921. The listed phone number is (410) 996-3400.

What is Kaitlin Widerman's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Kaitlin Widerman was last updated on January 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.