Individual provider Active NPI

Pamela Lea Geil, LCSW-R

  • Clinical Social Worker
  • West Henrietta, NY
National Provider Identifier
1124774476
Registry record updated Feb 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
080922 Issued in NY
Practice address
130 Chesapeake LNDG
West Henrietta, NY 14586-9010
Phone
(585) 313-1691
NPI assigned
Feb 25, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 25, 2022

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 080922 NY Primary

Addresses

Primary practice location

130 Chesapeake LNDG
West Henrietta, NY 14586-9010

Mailing address

130 Chesapeake LNDG
West Henrietta, NY 14586-9010
Phone (585) 313-1691

Other practice location 1

35707 Beadles Point Rd W
Cape Vincent, NY 13618-2161
Phone (585) 313-1691

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

LicenseStateTypeSpecialty
080922NYMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1645747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645747200000",
    "number": "1124774476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 CHESAPEAKE LNDG",
            "city": "WEST HENRIETTA",
            "state": "NY",
            "postal_code": "145869010",
            "telephone_number": "585-313-1691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 CHESAPEAKE LNDG",
            "city": "WEST HENRIETTA",
            "state": "NY",
            "postal_code": "145869010",
            "telephone_number": "585-313-1691"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "35707 Beadles Point Rd W",
            "address_purpose": "LOCATION",
            "city": "Cape Vincent",
            "state": "NY",
            "postal_code": "136182161",
            "country_code": "US",
            "telephone_number": "585-313-1691",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GEIL",
        "first_name": "PAMELA",
        "middle_name": "LEA",
        "credential": "LCSW-R",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-02-25",
        "last_updated": "2022-02-25",
        "certification_date": "2022-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "080922",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Henrietta, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2022; 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.