Healthcare Provider Details

I. General information

NPI: 1992759062
Provider Name (Legal Business Name): DAWN ADER O'MEALLY LCSW-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/21/2006
Last Update Date: 08/09/2024
Certification Date: 08/09/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

909 BALTIMORE BLVD STE 128
WESTMINSTER MD
21157-7068
US

IV. Provider business mailing address

909 BALTIMORE BLVD STE 128
WESTMINSTER MD
21157-7068
US

V. Phone/Fax

Practice location:
  • Phone: 410-751-6176
  • Fax: 410-857-4176
Mailing address:
  • Phone: 410-751-6176
  • Fax: 410-857-4176

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number95851
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: