Terry Geffen-Gold, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801062247 Issued in MI

Practice address

3901 Beaubien St
Detroit, MI 48201-2119

Phone

(313) 745-5350

NPI assigned

Feb 17, 2016

Last updated

Feb 17, 2016By the provider in NPPES

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

Other identifiers 2

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": "1455667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455667200000",
    "number": "1801255989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5040 MIRROR LAKE CT",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483231534",
            "telephone_number": "248-738-7458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3901 BEAUBIEN ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482012119",
            "telephone_number": "313-745-5350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEFFEN-GOLD",
        "first_name": "TERRY",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-17",
        "last_updated": "2016-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801062247",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LMSW",
            "identifier": "6801062247",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHILDRENS HOSPITAL OF MICHIGAN",
            "identifier": "1538471800",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pamela Gebrayel
• Wihib Ambaye Gebregeorgis, M.D.
• Wendy Geer
• Dorothy Geeston
• Sharlet Saju Geevarughese, NP-C
• Cheryl Marie Gehring, OTR
• Luke Geierman, MD
• Adela L Geiger, CRNA
• Robert Geiger
• Sara Geiss

• Clinical Social Worker in Detroit, MI
• Providers in Detroit, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2016; 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.