Geannine Lebude, MSS

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

44SC04328700 Issued in NJ

Practice address

58 S Maple Ave
Marlton, NJ 08053-2002

Phone

(856) 874-9200

NPI assigned

Sep 2, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1157155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732233600000",
    "number": "1346342227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1463",
            "city": "BURLINGTON",
            "state": "NJ",
            "postal_code": "080167063",
            "telephone_number": "856-874-9200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "58 S MAPLE AVE",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080532002",
            "telephone_number": "856-874-9200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEBUDE",
        "first_name": "GEANNINE",
        "credential": "MSS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-02",
        "last_updated": "2024-11-22",
        "certification_date": "2024-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC04328700",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CWO18119",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7553455",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IBC",
            "identifier": "2321857000",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE",
            "identifier": "537963000",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kristen Layton
• Dianne Lazer, MA CCCSLP COM
• Thanh Le, PHARMD
• Tiffany S Leach-Berth, AUD
• Lead Behavior Services LLC
• Gina Leclerc, LCSW
• Andrew Lee, MD
• Eddie Lee II, LAC
• Michele Elizabeth Lee
• Sing Yee Lee, L.AC

• Clinical Social Worker in Marlton, NJ
• Providers in Marlton, NJ by specialty
• Clinical Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2024; 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.