Amy Geller, LCSW

Individual provider Active NPI Clinical Social Worker · Waldwick, NJ

NPI 1467708552 · NPPES record last updated Jul 26, 2012

Key facts

NPI
1467708552
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
44SC05478000 (NJ)
Practice address
71 Franklin Tpke
Waldwick, NJ 07463-1851
Phone
(201) 749-0530
NPI assigned
Jul 26, 2012
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
44SC05478000NJMDClinical Social Worker

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 44SC05478000 NJ Yes

Addresses

Primary practice location

71 Franklin Tpke
Waldwick, NJ 07463-1851

Mailing address

303 Barrister CT
Wyckoff, NJ 07481-2062
Phone (917) 502-7203

Other providers in Waldwick, NJ

All providers in Waldwick, NJ · Clinical Social Worker in New Jersey

Sources for this page

Verify at the official NPI Registry.