Nina Elizabeth Geoffroy-Suppes, CSW, MSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CSW.09930997 Issued in CO

Practice address

1240 De Reamer Cir
Colorado Springs, CO 80915-2202

Phone

(209) 809-1517

NPI assigned

Feb 20, 2023

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

Medicare fee-for-service enrollment

Enrolled in CO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

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.

• Rocksolid Care Inc.

  • Clinical Social Worker
  • Colorado Springs, CO
  • NPI 1134844780
  Medicare reassignment NPD
• Pure Balance Health Systems

  • Community/Behavioral Health Agency
  • Colorado Springs, CO
  • NPI 1609574532
  NPD Authorized official
• Rocksolid Care Inc.

  • Clinical Social Worker
  • Colorado Springs, CO
  • NPI 1720959356
  NPD

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

{
    "created_epoch": "1676851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728000000000",
    "number": "1295433118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1240 DE REAMER CIR",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809152202",
            "telephone_number": "209-809-1517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1240 DE REAMER CIR",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809152202",
            "telephone_number": "209-809-1517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEOFFROY-SUPPES",
        "first_name": "NINA",
        "middle_name": "ELIZABETH",
        "credential": "CSW, MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-20",
        "last_updated": "2024-10-04",
        "certification_date": "2024-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "CSW.09930997",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Frances Gentry
• Tatum Gentry
• Genuine Path Counseling, LLC
• Genuine Path Counseling, LLC
• Genx Medical Equipment & Supply Inc.
• Mackenzie Geoghan
• Randolph E. Geoghan, D.D.S.
• Cloe Georgaides
• George J Juetersonke DO PC
• George Orthodontics PLLC

• Clinical Social Worker in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Clinical Social Worker in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.