Active NPI
Maureen Geller, L.C.S.W.
- Social Worker
- Brooklyn, NY
National Provider Identifier
1265594667
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- R047179-01
- Practice address
- 630 Union St
#3D
Brooklyn, NY 11215-1116 - Phone
- (718) 398-7481
- Fax
- (718) 857-5055
- NPI assigned
- Dec 14, 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | R047179-01 | NY | Primary |
| Clinical Social Worker | 1041C0700X | R047179-1 | NY |
Addresses
Primary practice location
630 Union St
#3D
Brooklyn, NY 11215-1116
Mailing address
630 Union St
#3D
Brooklyn, NY 11215-1116
Phone (718) 398-7481
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01526461 | Medicaid | NY |
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 |
|---|---|---|---|
| R047179-01 | NY | MD | Social Worker |
| R047179-1 | NY | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166054400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1265594667",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "630 UNION ST",
"address_2": "#3D",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112151116",
"telephone_number": "718-398-7481",
"fax_number": "718-857-5055"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "630 UNION ST",
"address_2": "#3D",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112151116",
"telephone_number": "718-398-7481",
"fax_number": "718-857-5055"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GELLER",
"first_name": "MAUREEN",
"credential": "L.C.S.W.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-14",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "R047179-01",
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "R047179-1",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01526461",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.