Kelly Renae Geers, MSW, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C006098 Issued in NC

Practice address

107 N Main St Ste 202
Davidson, NC 28036-9402

Phone

(704) 564-3955

NPI assigned

Jul 19, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

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.

• Green Couch Counseling PLLC

  • Clinical Social Worker
  • Davidson, NC
  • NPI 1255022554
  NPD Authorized official

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

{
    "created_epoch": "1626652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684281600000",
    "number": "1255904272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "624 JAMES ALEXANDER WAY",
            "city": "DAVIDSON",
            "state": "NC",
            "postal_code": "280367070",
            "telephone_number": "704-564-3955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 N MAIN ST STE 202",
            "city": "DAVIDSON",
            "state": "NC",
            "postal_code": "280369402",
            "telephone_number": "704-564-3955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEERS",
        "first_name": "KELLY",
        "middle_name": "RENAE",
        "credential": "MSW, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-19",
        "last_updated": "2023-05-17",
        "certification_date": "2023-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C006098",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "NA",
            "affiliation": "N",
            "address_1": "1204 The Plz Ste 4",
            "city": "Charlotte",
            "state": "NC",
            "country_code": "US",
            "postal_code": "282055078",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Virgil J Foster, LCSW
• Carolyn Franks
• Fullest Expressions Speech Therapy, PLLC
• Ellen L Gakis-Day, PT
• Christa Michelle Gallie-Weiss, MS, OTR/L
• Thomas E. Gettelman, PH.D.
• Michael Giannangeli
• Paul Robert Gibbs, DDS MS PA
• Dalyndra Gilcreast, LCMHC-A
• Gracyn London Gilleland, COTA/L

• Clinical Social Worker in Davidson, NC
• Providers in Davidson, 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 17, 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.