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General NPI Number Information
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NPI Number | 1700739752
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Entity Type | Organization
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Legal Business Name | KATHRYN OMERSO, LCSW-C, LLC
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Dates
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Enumeration Date | 02/18/2026
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Last Update Date | 02/18/2026
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Provider Practice Location Address
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Address Line | 241 E 4TH ST STE 100
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City | FREDERICK
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State | MD
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Zip | 21701-3601
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Country | US
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Telephone | 240-899-2089
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Fax |
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Provider Business Mailing Address
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Address Line | 78 ASHLEY CT
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City | MYERSVILLE
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State | MD
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Zip | 21773-8414
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Country | US
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Telephone | 240-899-2089
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | KATHRYN OMERSO
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Credential | LCSW-C
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Telephone | 240-899-2089
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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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