Individual provider Active NPI

John Geremia, LCSW-C

  • Clinical Social Worker
  • Jessup, MD
National Provider Identifier
1104852912
Registry record updated Jan 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
10830 Issued in MD
Practice address
8331 Lincoln Dr
Jessup, MD 20794-9454
Phone
(410) 799-5092
Fax
(410) 799-9559
NPI assigned
Jun 23, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 14, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 10830 MD Primary

Addresses

Primary practice location

8331 Lincoln Dr
Jessup, MD 20794-9454

Mailing address

8331 Lincoln Dr
Jessup, MD 20794-9454
Phone (410) 799-5092

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20080314000047 MD Practitioner - Clinical Social Worker 6800840133 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1997
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

8331 Lincoln Dr
Jessup, MD 20794-9454
Phone (410) 799-5092

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10830MDMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
John P. Geremia, LCSW-C, LLC Clinical CurrentSince Jun 29, 2006 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": "1151020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1263427200000",
    "number": "1104852912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8331 LINCOLN DR",
            "city": "JESSUP",
            "state": "MD",
            "postal_code": "207949454",
            "telephone_number": "410-799-5092",
            "fax_number": "410-799-9559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8331 LINCOLN DR",
            "city": "JESSUP",
            "state": "MD",
            "postal_code": "207949454",
            "telephone_number": "410-799-5092",
            "fax_number": "410-799-9559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEREMIA",
        "first_name": "JOHN",
        "credential": "LCSW-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-23",
        "last_updated": "2010-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "10830",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jessup, MD

Sources for this page

Verify at the official NPI Registry.