Geraldine M Mills, MSW, LSW

Primary specialty

CounselorTaxonomy code 101Y00000X

License

SW011512L Issued in PA

Practice address

1717 William Penn Hwy
Mifflintown, PA 17059-7876

Phone

(717) 436-8406

Fax

(717) 436-5977

NPI assigned

Jun 16, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Gerry M Mills Professional name

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": "1308182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1308182400000",
    "number": "1407141567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1717 WILLIAM PENN HWY",
            "city": "MIFFLINTOWN",
            "state": "PA",
            "postal_code": "170597876",
            "telephone_number": "717-436-8406",
            "fax_number": "717-436-5977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1717 WILLIAM PENN HWY",
            "city": "MIFFLINTOWN",
            "state": "PA",
            "postal_code": "170597876",
            "telephone_number": "717-436-8406",
            "fax_number": "717-436-5977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLS",
        "first_name": "GERALDINE",
        "middle_name": "M",
        "credential": "MSW, LSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-06-16",
        "last_updated": "2011-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "PA",
            "license": "SW011512L",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "PA",
            "license": "SW011512L",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GERRY",
            "last_name": "MILLS",
            "middle_name": "M",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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• Counselor in Mifflintown, PA
• Providers in Mifflintown, PA by specialty
• Counselor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2011; 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.