Active NPI
Jonathan David Geller, MSW
- Social Worker
- Westport, CT
National Provider Identifier
1093379307
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 001388LCSW
- Practice address
- 166 Kings Highway North
Westport, CT 06880 - Phone
- (203) 221-0333
- NPI assigned
- Apr 23, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 001388LCSW | CT | Primary |
Addresses
Primary practice location
166 Kings Highway North
Westport, CT 06880
Mailing address
166 Kings Highway North
Westport, CT 06880
Phone (203) 221-0333
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 001388LCSW | CT | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1555977600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1555977600000",
"number": "1093379307",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "166 KINGS HIGHWAY NORTH",
"city": "WESTPORT",
"state": "CT",
"postal_code": "06880",
"telephone_number": "203-221-0333"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "166 KINGS HIGHWAY NORTH",
"city": "WESTPORT",
"state": "CT",
"postal_code": "06880",
"telephone_number": "203-221-0333"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GELLER",
"first_name": "JONATHAN",
"middle_name": "DAVID",
"name_prefix": "Mr.",
"credential": "MSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-04-23",
"last_updated": "2019-04-23",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "CT",
"license": "001388LCSW",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Westport, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.