Individual provider Active NPI

Andrea M. Gieryic, LCSW

  • Clinical Social Worker
  • Fort Myers, FL
National Provider Identifier
1477241198
Registry record updated May 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
15321 Issued in FL
Practice address
14891 Hole in 1 Cir Apt 104
Fort Myers, FL 33919-7187
Phone
(239) 834-7255
NPI assigned
May 1, 2023
Last updated
May 1, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 1, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 15321 FL Primary

Addresses

Primary practice location

14891 Hole in 1 Cir Apt 104
Fort Myers, FL 33919-7187

Mailing address

14891 Hole in 1 Cir Apt 104
Fort Myers, FL 33919-7187
Phone (239) 834-7255

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
15321FLMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1682899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682899200000",
    "number": "1477241198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14891 HOLE IN 1 CIR APT 104",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339197187",
            "telephone_number": "239-834-7255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14891 HOLE IN 1 CIR APT 104",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339197187",
            "telephone_number": "239-834-7255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIERYIC",
        "first_name": "ANDREA",
        "middle_name": "M.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-05-01",
        "last_updated": "2023-05-01",
        "certification_date": "2023-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "15321",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2023; 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.