Kathryn Omerso, LMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

24525 Issued in MD

Practice address

23 Goodport LN
Gaithersburg, MD 20878-1058

Phone

(240) 899-2089

NPI assigned

Aug 23, 2021

Last updated

Aug 23, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MD

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2018

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Life Change Therapy Now LLC

  • Clinical Social Worker
  • Frederick, MD
  • NPI 1780121392
  Medicare reassignment NPD
• Kathryn Omerso, LCSW-C, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Frederick, MD
  • NPI 1588511893
  NPD Authorized official
• Kathryn Omerso, LCSW-C, LLC

  • Clinical Social Worker
  • Frederick, MD
  • NPI 1700739752
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1629676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629676800000",
    "number": "1306513932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 GOODPORT LN",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208781058",
            "telephone_number": "240-899-2089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 GOODPORT LN",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208781058",
            "telephone_number": "240-899-2089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OMERSO",
        "first_name": "KATHRYN",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-23",
        "last_updated": "2021-08-23",
        "certification_date": "2021-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MD",
            "license": "24525",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Olsen
• Folake Olubasusi, RN, MSN, FNP-BC
• Paula Oluwaseyi
• Olympus Dental LLC
• Omega Dental Group LLC
• Wendy Gail Ominsky, L.C.S.W.-C.
• One Health Quality Alliance, LLC
• One Touch Alternative, LLC
• Alvin Tantingco Ong
• Halie Larissa Onigoaie

• Social Worker in Gaithersburg, MD
• Providers in Gaithersburg, MD by specialty
• Social Worker in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.