Individual provider Active NPI

Geralyn Valonzo, LCSW

  • Social Worker
  • Staten Island, NY
National Provider Identifier
1003523317
Registry record updated Oct 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
113097 Issued in NY
Practice address
22 Rice Ave # 2
Staten Island, NY 10314-2510
Phone
(917) 975-6219
NPI assigned
Nov 7, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 29, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 113097 NY Primary

Addresses

Primary practice location

22 Rice Ave # 2
Staten Island, NY 10314-2510

Mailing address

22 Rice Ave # 2
Staten Island, NY 10314-2510
Phone (917) 975-6219

Other identifiers 1

IdentifierTypeStateIssuer
110840512OtherNYDRIVER'S LICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://www.innopsych.com/therapists/c30c5904-ad29-4256-8131-a77af4b141cd Direct InnoPsych, Inc.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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

Enrollment IDStateProvider typePAC IDDetails
I20251119003067 NY Order and Referring Only - Clinical Social Worker 0941791735

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
099171NYMDSocial Worker
113097NYMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Valonzo Clinical Services LCSW PLLC Current Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1667779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761696000000",
    "number": "1003523317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 RICE AVE # 2",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103142510",
            "telephone_number": "917-975-6219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 RICE AVE # 2",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103142510",
            "telephone_number": "917-975-6219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALONZO",
        "first_name": "GERALYN",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-11-07",
        "last_updated": "2025-10-29",
        "certification_date": "2025-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "113097",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DRIVER'S LICENSE",
            "identifier": "110840512",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.innopsych.com/therapists/c30c5904-ad29-4256-8131-a77af4b141cd",
            "affiliation": "Y",
            "endpointDescription": "InnoPsych",
            "affiliationName": "InnoPsych, Inc.",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "40 Spring St Ste 3",
            "city": "Watertown",
            "state": "MA",
            "country_code": "US",
            "postal_code": "024723476",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

Verify at the official NPI Registry.