Megan Adele Omohundro, LMSW

Individual provider Active NPI School Social Worker · Easton, MD

NPI 1982440129 · NPPES record last updated Jul 8, 2024

Key facts

NPI
1982440129
Entity type
Individual (NPI type 1)
Primary specialty
School Social Worker 1041S0200X
License
31722 (MD)
Practice address
305 Spring Dr
Easton, MD 21601-3841
Phone
(410) 310-2598
NPI assigned
Jul 8, 2024
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
31722MDMDSchool Social Worker

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
School Social Worker 1041S0200X 31722 MD Yes

Addresses

Primary practice location

305 Spring Dr
Easton, MD 21601-3841

Mailing address

305 Spring Dr
Easton, MD 21601-3841
Phone (410) 310-2598

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 8, 2024.

{
    "created_epoch": "1720396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720396800000",
    "number": "1982440129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 SPRING DR",
            "city": "EASTON",
            "state": "MD",
            "postal_code": "216013841",
            "telephone_number": "410-310-2598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 SPRING DR",
            "city": "EASTON",
            "state": "MD",
            "postal_code": "216013841",
            "telephone_number": "410-310-2598"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OMOHUNDRO",
        "first_name": "MEGAN",
        "middle_name": "ADELE",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-07-08",
        "last_updated": "2024-07-08",
        "certification_date": "2024-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "MD",
            "license": "31722",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Easton, MD

All providers in Easton, MD · School Social Worker in Maryland

Sources for this page

Verify at the official NPI Registry.