Individual provider Active NPI

Margaret Kirgis Gerolamo, LCSW

  • Clinical Social Worker
  • Thousand Oaks, CA
National Provider Identifier
1538428255
Registry record updated May 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
5386 Issued in CA
Practice address
100 E Thousand Oaks Blvd
Suite 236
Thousand Oaks, CA 91360-5713
Phone
(805) 218-9635
NPI assigned
May 15, 2012
Last updated
May 15, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 15, 2012

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 5386 CA Primary

Addresses

Primary practice location

100 E Thousand Oaks Blvd
Suite 236
Thousand Oaks, CA 91360-5713

Mailing address

1589 Calle la Cumbre
Camarillo, CA 93010-1818
Phone (805) 482-0353

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
5386CAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1337040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1337040000000",
    "number": "1538428255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1589 CALLE LA CUMBRE",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930101818",
            "telephone_number": "805-482-0353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 E THOUSAND OAKS BLVD",
            "address_2": "SUITE 236",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913605713",
            "telephone_number": "805-218-9635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEROLAMO",
        "first_name": "MARGARET",
        "middle_name": "KIRGIS",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-05-15",
        "last_updated": "2012-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "5386",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Thousand Oaks, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2012; 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.