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NPI 1386830180

NPI 1386830180 : K REED GEHRING LCSW-C LLC : LINTHICUM, MD

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General NPI Number Information
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    NPI Number           |    1386830180
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    Entity Type          |    Organization 
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    Legal Business Name  |    K REED GEHRING LCSW-C LLC 
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Dates
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    Enumeration Date     |    09/15/2007
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    Last Update Date     |    10/15/2025
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Provider Practice Location Address
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    Address Line         |    939 ELKRIDGE LANDING RD STE 350 
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    City                 |    LINTHICUM
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    State                |    MD
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    Zip                  |    21090-2953
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    Country              |    US
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    Telephone            |    410-254-7243
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    Fax                  |    443-231-4331
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Provider Business Mailing Address
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    Address Line         |    15 BIDEFORD CT 
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    City                 |    PARKVILLE
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    State                |    MD
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    Zip                  |    21234-1516
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    Country              |    US
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    Telephone            |    410-254-7243
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    Fax                  |    443-231-4331
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |    MR. KENNETH REED GEHRING 
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    Credential           |    LCSW-C
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    Telephone            |    410-254-7243
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    1041C0700X
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    Taxonomy Name        |    Clinical Social Worker
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    251S00000X
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    Taxonomy Name        |    Community/Behavioral Health Agency
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    License Number       |    06645
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    License Number State |    MD
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