Maida Erika Gierasch

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

R020888 Issued in NY

Practice address

120 E Buffalo St
Ithaca, NY 14850-4266

Phone

(607) 273-7659

NPI assigned

Feb 19, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1171843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1568506756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 WAIT AVE",
            "city": "ITHACA",
            "state": "NY",
            "postal_code": "148502438",
            "telephone_number": "607-257-6679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 E BUFFALO ST",
            "city": "ITHACA",
            "state": "NY",
            "postal_code": "148504266",
            "telephone_number": "607-273-7659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIERASCH",
        "first_name": "MAIDA",
        "middle_name": "ERIKA",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R020888",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bryan R Gibb, PA-C
• Justine Anne Gibbs, RN
• Kimberlea N Gibbs, MPH, RDN, LD
• Emmalyn Grace Gibson, ATC
• Rex David Gido, D.O.
• Sarah Anne Giewont, OTR/L
• Donna G Gilbert, LPN
• Louise May Gill, MPT
• Magdalen Anne Gillard, OT-L
• Jenna Lee Gillen, M.S., CCC-SLP

• Clinical Social Worker in Ithaca, NY
• Providers in Ithaca, NY by specialty
• Clinical Social Worker in New York

• 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.

Verify at the official NPI Registry.