Active NPI
Stephanie Nicole Geitgey, LCSW
- Clinical Social Worker
- Chattanooga, TN
National Provider Identifier
1265518856
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 6135
- Practice address
- 651 E 4TH St Ste 100
Chattanooga, TN 37403-1923 - Phone
- (423) 800-2881
- NPI assigned
- Oct 27, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 2846 | OK | |
| Clinical Social Worker | 1041C0700X | 6135 | TN | Primary |
Addresses
Primary practice location
651 E 4TH St Ste 100
Chattanooga, TN 37403-1923
Mailing address
12468 La Grange Rd # 416
Louisville, KY 40245-1901
Phone (423) 800-2881
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 |
|---|---|---|---|
| 6135 | TN | MD | Physical Therapist |
| 2846 | OK | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161907200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1673395200000",
"number": "1265518856",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12468 LA GRANGE RD # 416",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402451901",
"telephone_number": "423-800-2881"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "651 E 4TH ST STE 100",
"city": "CHATTANOOGA",
"state": "TN",
"postal_code": "374031923",
"telephone_number": "423-800-2881"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GEITGEY",
"first_name": "STEPHANIE",
"middle_name": "NICOLE",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-27",
"last_updated": "2023-01-11",
"certification_date": "2023-01-11",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "OK",
"license": "2846",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "TN",
"license": "6135",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chattanooga, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 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.