Active NPI
Andrew Lee Geller, L.C.S.W.
- Clinical Social Worker
- New York, NY
National Provider Identifier
1568519916
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- R040501-01
- Practice address
- 19 W 34TH St
Penthouse a-3
New York, NY 10001-3006 - Phone
- (212) 947-7111
- Fax
- (212) 239-0948
- NPI assigned
- Jan 5, 2007
- Last updated
- Feb 18, 2009
- 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 | R040501-01 | NY | Primary |
Addresses
Primary practice location
19 W 34TH St
Penthouse a-3
New York, NY 10001-3006
Mailing address
515 E 85TH St
Apt. 6B
New York, NY 10028-7421
Phone (917) 806-7532
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| N4H641 | Medicaid | NY |
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 |
|---|---|---|---|
| R040501-01 | NY | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Andrew Lee Geller, C.S.W., P.C. | Clinical | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Clinical Social Worker
- New York, NY
- NPI 1609015403
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167955200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1234915200000",
"number": "1568519916",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "515 E 85TH ST",
"address_2": "APT. 6B",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100287421",
"telephone_number": "917-806-7532"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19 W 34TH ST",
"address_2": "PENTHOUSE A-3",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100013006",
"telephone_number": "212-947-7111",
"fax_number": "212-239-0948"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GELLER",
"first_name": "ANDREW",
"middle_name": "LEE",
"name_prefix": "Mr.",
"credential": "L.C.S.W.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-05",
"last_updated": "2009-02-18",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "R040501-01",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "N4H641",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.