Jamia Michaela Tazzia Geddie, LCSWA

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

P016494 Issued in NC

Practice address

1301 Lockhart St
Monroe, NC 28112-4001

Phone

(704) 698-7934

NPI assigned

Jul 8, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Recovering Spirits Counseling and Consulting, PLLC

  • Mental Health Counselor
  • Charlotte, NC
  • NPI 1720865058
  NPD Authorized official
• Enduring Care Counseling Services PLLC

  • Community/Behavioral Health Agency
  • Mooresville, NC
  • NPI 1376218784

  Clinical

  NPD (past)
• Gaston Family Health Services, Inc

  • Federally Qualified Health Center (FQHC)
  • Gastonia, NC
  • NPI 1306644315
  NPD (past)
• Gaston Family Health Services, Inc.

  • Federally Qualified Health Center (FQHC)
  • Conover, NC
  • NPI 1619438942
  NPD (past)

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

{
    "created_epoch": "1625702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685059200000",
    "number": "1124699392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 LOCKHART ST",
            "city": "MONROE",
            "state": "NC",
            "postal_code": "281124001",
            "telephone_number": "704-698-7934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 LOCKHART ST",
            "city": "MONROE",
            "state": "NC",
            "postal_code": "281124001",
            "telephone_number": "704-698-7934"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "810 Hunsucker Dr NE",
            "address_purpose": "LOCATION",
            "city": "Conover",
            "state": "NC",
            "postal_code": "286137578",
            "country_code": "US",
            "telephone_number": "828-464-1973",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GEDDIE",
        "first_name": "JAMIA",
        "middle_name": "MICHAELA TAZZIA",
        "credential": "LCSWA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-08",
        "last_updated": "2023-05-26",
        "certification_date": "2023-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P016494",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Courtney Stevens- Garrison, C.PED
• Gaston Family Health Services, Inc.
• Ying Ge, MD
• Andrew Gebhardt
• Ephrem Yohannes Gebregziabher
• George F Pinsak, DMD, MSD, PA
• Tina Gerhardt, ANP
• Donisia Denee Germany, FNP-BC
• Daniel Robert Gerry, MD
• Peyman Gharavizadeh, DDS

• Clinical Social Worker in Monroe, NC
• Providers in Monroe, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2023; 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.