Active NPI
Charles Geller, LCSW, DCSW
- Clinical Social Worker
- Maitland, FL
National Provider Identifier
1477699809
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- SW7199
- Practice address
- 341 N Maitland Ave
Suite 160
Maitland, FL 32751-4783 - Phone
- (407) 923-9181
- Fax
- (407) 834-5800
- NPI assigned
- Jan 30, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | SW7199 | FL | Primary |
Addresses
Primary practice location
341 N Maitland Ave
Suite 160
Maitland, FL 32751-4783
Mailing address
431 Falls CT
Altamonte Springs, FL 32714-7508
Phone (407) 923-9181
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
| License | State | Type | Specialty |
|---|---|---|---|
| SW7199 | FL | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170115200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1477699809",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "431 FALLS CT",
"city": "ALTAMONTE SPRINGS",
"state": "FL",
"postal_code": "327147508",
"telephone_number": "407-923-9181",
"fax_number": "407-834-5800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "341 N MAITLAND AVE",
"address_2": "SUITE 160",
"city": "MAITLAND",
"state": "FL",
"postal_code": "327514783",
"telephone_number": "407-923-9181",
"fax_number": "407-834-5800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GELLER",
"first_name": "CHARLES",
"name_prefix": "Mr.",
"credential": "LCSW, DCSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-30",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "FL",
"license": "SW7199",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Maitland, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.