Healthcare Provider Details

I. General information

NPI: 1891759049
Provider Name (Legal Business Name): KENNETH REED GEHRING LCSW-C
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/14/2006
Last Update Date: 09/16/2025
Certification Date: 09/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

939 ELKRIDGE LANDING RD STE 350
LINTHICUM MD
21090-2909
US

IV. Provider business mailing address

15 BIDEFORD CT
PARKVILLE MD
21234-1516
US

V. Phone/Fax

Practice location:
  • Phone: 443-354-8903
  • Fax: 443-231-4331
Mailing address:
  • Phone: 410-254-7243
  • Fax: 443-231-4331

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number06645
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: