John P. Geremia, LCSW-C, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

10830 Issued in MD

Legal business name

JOHN P. GEREMIA, LCSW-C, LLC

Practice address

8331 Lincoln Dr
Jessup, MD 20794-9454

Phone

(410) 799-5092

Fax

(410) 799-5092

NPI assigned

Oct 10, 2007

Last updated

Oct 10, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. John P Geremia, LCSW-CNPI 1104852912

Title

Psychotherapist

Phone

(410) 799-5092

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• John Geremia, LCSW-C

  • Clinical Social Worker
  • Jessup, MD
  • NPI 1104852912
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1191974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191974400000",
    "number": "1174711626",
    "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": "410-799-5092"
        },
        {
            "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": "410-799-5092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN P. GEREMIA, LCSW-C, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-10",
        "last_updated": "2007-10-10",
        "status": "A",
        "authorized_official_last_name": "GEREMIA",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "410-799-5092",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW-C"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "10830",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "10830",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Jessup, MD
• Providers in Jessup, MD by specialty
• Clinical Social Worker in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.