Organization Active NPI

Deborah Geisler Lisw PC

  • Clinical Social Worker
  • Roswell, NM
National Provider Identifier
1619118023
Registry record updated Mar 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I2660 Issued in NM
Legal business name
DEBORAH GEISLER LISW PC
Practice address
400 N Pennsylvania Ave
Suite 1080
Roswell, NM 88201-4754
Phone
(575) 623-2248
NPI assigned
Mar 13, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2009

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

Authorized official

Name
Deborah Geisler, LISW
Title
President
Phone
(575) 623-2248

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X I2660 NM Primary

Addresses

Primary practice location

400 N Pennsylvania Ave
Suite 1080
Roswell, NM 88201-4754

Mailing address

400 N Pennsylvania Ave
Suite 1080
Roswell, NM 88201-4754
Phone (575) 623-2248

Other identifiers 1

IdentifierTypeStateIssuer
E8755MedicaidNM

National Provider Directory

National Provider Directory

Locations

400 N Pennsylvania Ave
Ste 1080
Roswell, NM 88201
Phone (505) 622-4519

NPI Registry JSON

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

{
    "created_epoch": "1236902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1237161600000",
    "number": "1619118023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 N PENNSYLVANIA AVE",
            "address_2": "SUITE 1080",
            "city": "ROSWELL",
            "state": "NM",
            "postal_code": "882014754",
            "telephone_number": "575-623-2248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 N PENNSYLVANIA AVE",
            "address_2": "SUITE 1080",
            "city": "ROSWELL",
            "state": "NM",
            "postal_code": "882014754",
            "telephone_number": "575-623-2248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEBORAH GEISLER LISW PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-13",
        "last_updated": "2009-03-16",
        "status": "A",
        "authorized_official_last_name": "GEISLER",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "575-623-2248",
        "authorized_official_credential": "LISW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NM",
            "license": "I2660",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "E8755",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Roswell, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 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.

Verify at the official NPI Registry.