Georgann Metropoulos, LCSW

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

CW009373L Issued in PA

Practice address

100 Plaza CT Ste D
East Stroudsburg, PA 18301-8258

Phone

(570) 424-6763

Fax

(570) 424-9352

NPI assigned

Dec 29, 2006

Last updated

Jul 8, 2007By the provider in NPPES

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1167350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1053477364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 PLAZA CT STE D",
            "city": "EAST STROUDSBURG",
            "state": "PA",
            "postal_code": "183018258",
            "telephone_number": "570-424-6763",
            "fax_number": "570-424-9352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 PLAZA CT STE D",
            "city": "EAST STROUDSBURG",
            "state": "PA",
            "postal_code": "183018258",
            "telephone_number": "570-424-6763",
            "fax_number": "570-424-9352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "METROPOULOS",
        "first_name": "GEORGANN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "PA",
            "license": "CW009373L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "CW009373L",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in East Stroudsburg, PA
• Providers in East Stroudsburg, PA by specialty
• Mental Health Counselor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.