Ann Milliken Gerould, LMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

1062441 Issued in NY

Practice address

407 W Water St
Elmira, NY 14905-2562

Phone

(607) 734-0980

Fax

(607) 734-0981

NPI assigned

Dec 11, 2019

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

Locations

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.

• Southern Tier Counseling Center, LLC

  • Clinical Social Worker
  • Elmira, NY
  • NPI 1598716292
  NPD

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

{
    "created_epoch": "1576022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576022400000",
    "number": "1295373108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "407 W WATER ST",
            "city": "ELMIRA",
            "state": "NY",
            "postal_code": "149052562",
            "telephone_number": "607-734-0980",
            "fax_number": "607-734-0981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 W WATER ST",
            "city": "ELMIRA",
            "state": "NY",
            "postal_code": "149052562",
            "telephone_number": "607-734-0980",
            "fax_number": "607-734-0981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEROULD",
        "first_name": "ANN",
        "middle_name": "MILLIKEN",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-11",
        "last_updated": "2019-12-11",
        "certification_date": "2019-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "1062441",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "osoutherntierc@stny.rr.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "407 W Water St",
            "city": "Elmira",
            "state": "NY",
            "country_code": "US",
            "postal_code": "149052562",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jessica L Garrett
• Gastroenterology Associates of the Southern Tier
• Nathan A Gear, PHARMD
• Alisha Nadine Gelling
• Ernest Joseph Germano, LMHC
• Gerould'S Professional Pharmacy Inc.
• Gerould'S Professional Pharmacy Inc.
• Gerould'S Professional Pharmacy Inc.
• Gerould'S Professional Pharmacy Inc.
• Geroulds Professional Pharmacy Inc

• Social Worker in Elmira, NY
• Providers in Elmira, NY by specialty
• Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 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.

Verify at the official NPI Registry.