Individual provider Active NPI

Ann Hornick Geismar, LCSW

  • Clinical Social Worker
  • Palm City, FL
National Provider Identifier
1689297897
Registry record updated Feb 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW3160 Issued in FL
Practice address
1928 SW Pinewood Way
Palm City, FL 34990-1364
Phone
(772) 485-1112
Fax
(772) 382-2888
NPI assigned
May 21, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 23, 2023

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 SW3160 FL Primary

Addresses

Primary practice location

1928 SW Pinewood Way
Palm City, FL 34990-1364

Mailing address

1928 SW Pinewood Way
Palm City, FL 34990-1364
Phone (772) 485-1112

Other names 1

  • Ann Geismar Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200707002425 FL Practitioner - Clinical Social Worker 4880017011 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Senior Life Care Solutions LLC Clinical CurrentSince Mar 16, 2021 Accepting new patients
Cotler Healthcare & Development Inc. CurrentSince Jun 1, 2020 Accepting new patients
Cotler Children and Family Services, LLC Past Accepting new patients

Locations

9555 SE Federal Hwy
Hobe Sound, FL 33455
Phone (386) 255-1054

901 S 62nd Ave
Hollywood, FL 33023
Phone (954) 893-0109

9835 Lake Worth Rd
Ste 16179
Lake Worth, FL 33467

11120 S Crown Way
Ste 1
Wellington, FL 33414
Phone (561) 419-6779

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1590019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677110400000",
    "number": "1689297897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1928 SW PINEWOOD WAY",
            "city": "PALM CITY",
            "state": "FL",
            "postal_code": "349901364",
            "telephone_number": "772-485-1112",
            "fax_number": "772-382-2888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1928 SW PINEWOOD WAY",
            "city": "PALM CITY",
            "state": "FL",
            "postal_code": "349901364",
            "telephone_number": "772-485-1112",
            "fax_number": "772-382-2888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEISMAR",
        "first_name": "ANN",
        "middle_name": "HORNICK",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-05-21",
        "last_updated": "2023-02-23",
        "certification_date": "2023-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW3160",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANN",
            "last_name": "GEISMAR",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Palm City, FL

Sources for this page

Verify at the official NPI Registry.