Paula Thomas-Gereke, LSW
Individual provider Active NPI Social Worker · Wellington, OH
NPI 1497090922 · NPPES record last updated Dec 10, 2012
Key facts
- NPI
- 1497090922
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- License
- S.0031098 (OH)
- Practice address
- 52327 State Route 18
Wellington, OH 44090-9136 - Phone
- (440) 647-1010
- NPI assigned
- Dec 10, 2012
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S.0031098 | OH | MD | Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | S.0031098 | OH | Yes |
Addresses
Primary practice location
52327 State Route 18
Wellington, OH 44090-9136
Mailing address
52327 State Route 18
Wellington, OH 44090-9136
Other providers in Wellington, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 10, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.