Adena P Geller, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

1019351 Issued in MA

Practice address

41 Collins Rd
Waban, MA 02468-2202

Phone

(617) 875-1753

NPI assigned

Sep 12, 2018

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1536710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610064000000",
    "number": "1750864088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 COLLINS RD",
            "city": "WABAN",
            "state": "MA",
            "postal_code": "024682202",
            "telephone_number": "617-875-1753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 COLLINS RD",
            "city": "WABAN",
            "state": "MA",
            "postal_code": "024682202",
            "telephone_number": "617-875-1753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GELLER",
        "first_name": "ADENA",
        "middle_name": "P",
        "name_prefix": "Ms.",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-09-12",
        "last_updated": "2021-01-08",
        "certification_date": "2021-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "1019351",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Annette Furst, M.D.
• Richard Alan Geist, ED.D.
• Susan S Geist, M.D.
• Jennifer Michelle Gelda, MD
• Linda Comenitz Gelda, LICSW
• Neil Oliver Gladstone, M.S.
• Ellen Feldman Glick, MSW
• Marsha Graubard Greenstein, PH.D.
• Jennifer Grossman
• Terry L. Drew Henderson, M.A.-CCC-SLP

• Clinical Social Worker in Waban, MA
• Providers in Waban, MA by specialty
• Clinical Social Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2021; 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.