Active NPI
Deborah Leone Geisler, LCSW
- Clinical Social Worker
- Roswell, NM
National Provider Identifier
1225059785
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- C-2660
- Practice address
- 110 E Mescalero Rd
Roswell, NM 88201-6542 - Phone
- (575) 755-2272
- Fax
- (575) 622-3325
- NPI assigned
- Jul 21, 2006
- Last updated
- Jun 4, 2019
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | C-2660 | NM | Primary |
Addresses
Primary practice location
110 E Mescalero Rd
Roswell, NM 88201-6542
Mailing address
110 E Mescalero Rd
Roswell, NM 88201-6542
Phone (575) 755-2272
Other practice location 1
400 N Pennsylvania Ave
Suite 1080
Roswell, NM 88201-4754
Phone (505) 623-2248
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| E8755 | Medicaid | NM |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C-2660 | NM | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153440000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1559606400000",
"number": "1225059785",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "110 E MESCALERO RD",
"city": "ROSWELL",
"state": "NM",
"postal_code": "882016542",
"telephone_number": "575-755-2272",
"fax_number": "575-622-3325"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 E MESCALERO RD",
"city": "ROSWELL",
"state": "NM",
"postal_code": "882016542",
"telephone_number": "575-755-2272",
"fax_number": "575-622-3325"
}
],
"practiceLocations": [
{
"address_1": "400 N Pennsylvania Ave",
"address_2": "Suite 1080",
"address_purpose": "LOCATION",
"city": "Roswell",
"state": "NM",
"postal_code": "882014754",
"country_code": "US",
"telephone_number": "505-623-2248",
"fax_number": "505-623-3232",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GEISLER",
"first_name": "DEBORAH",
"middle_name": "LEONE",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-21",
"last_updated": "2019-06-04",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NM",
"license": "C-2660",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "E8755",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Roswell, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 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.