Katelyn Kennell-Gaither, LMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

27836 Issued in MD

Practice address

12502 Willowbrook Rd Ste 380
Cumberland, MD 21502-6592

Phone

(240) 964-8793

NPI assigned

Feb 21, 2023

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1676937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676937600000",
    "number": "1508564345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12502 WILLOWBROOK RD STE 300",
            "city": "CUMBERLAND",
            "state": "MD",
            "postal_code": "215026498",
            "telephone_number": "240-964-8793",
            "fax_number": "240-964-8679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12502 WILLOWBROOK RD STE 380",
            "city": "CUMBERLAND",
            "state": "MD",
            "postal_code": "215026592",
            "telephone_number": "240-964-8793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENNELL-GAITHER",
        "first_name": "KATELYN",
        "name_prefix": "Mrs.",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-21",
        "last_updated": "2023-02-21",
        "certification_date": "2023-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MD",
            "license": "27836",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Keller, CPRS-II
• William Frederick Kellermeyer Jr., MD
• Barbara Ann Kennedy, M. ED.
• Jennifer Kennedy, CRNA
• Michele Kennedy, DO
• Kennth J Pompilio MD PA
• Kensington Algonquin, LLC.
• Melody Marie Kentrus, DPT
• Kristen Renee Kessel, CRNP
• James Leland Kessell, P.D.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.