Khandia Geronimo, LMSW, CASAC

Primary specialty

Social WorkerTaxonomy code 104100000X

License

084402 Issued in NY

Practice address

275 Jerusalem Ave
Hempstead, NY 11550-6436

Phone

(516) 483-3311

NPI assigned

Apr 25, 2013

Sex

Female

Sole proprietor

No

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

Enrolled in NY

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

Specialty

Clinical Social Worker

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Networks

• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H3359
• Healthfirst Medicare Network H1722

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.

• Fernando Taveras, MD PC

  • Psychiatry Physician
  • New York, NY
  • NPI 1659578839
  Medicare reassignment NPD
• Eben-Ezer Medical Associates P.C

  • Adult Mental Health Clinic/Center
  • Hempstead, NY
  • NPI 1568512333
  NPD (past)

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

{
    "created_epoch": "1366848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1366848000000",
    "number": "1730523366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "275 JERUSALEM AVE",
            "city": "HEMPSTEAD",
            "state": "NY",
            "postal_code": "115506436",
            "telephone_number": "516-483-3311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 JERUSALEM AVE",
            "city": "HEMPSTEAD",
            "state": "NY",
            "postal_code": "115506436",
            "telephone_number": "516-483-3311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GERONIMO",
        "first_name": "KHANDIA",
        "credential": "LMSW, CASAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-25",
        "last_updated": "2013-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "084402",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Garden City Medical Services
• Cheryl Denise Gardner, R.N.
• Jacqueline C Gelbart
• Jessica Delcarmen Genao Abreu
• George S. Stoica, MD, FCCP, PLLC
• Lori Gershman, PA-C, MNS
• Theodor Gervais
• GHW Essential Wellcare Inc
• Allison Joan Gibson, LCSW
• Renee Arnette Gibson, LMSW

• Social Worker in Hempstead, NY
• Providers in Hempstead, NY by specialty
• Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.