Jesse Geguzis, LSW, MED.

Primary specialty

Social WorkerTaxonomy code 104100000X

License

SW139976 Issued in PA

Practice address

401 S 2ND St Ste 401
Philadelphia, PA 19147-1612

Phone

(609) 225-9641

NPI assigned

Jan 19, 2023

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Education

State licenses

Practice roles

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.

• South Jersey Therapy Collective LLC

  • Clinical Social Worker
  • Moorestown, NJ
  • NPI 1306454376
  NPD (past)

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

{
    "created_epoch": "1674086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674086400000",
    "number": "1801501267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4614 BALTIMORE AVE APT 2R",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191436603",
            "telephone_number": "347-217-3367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 S 2ND ST STE 401",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191471612",
            "telephone_number": "609-225-9641"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4614 Baltimore Ave Apt 2R",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191436603",
            "country_code": "US",
            "telephone_number": "347-217-3367",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1939 S Juniper St",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191482217",
            "country_code": "US",
            "telephone_number": "215-276-3922",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GEGUZIS",
        "first_name": "JESSE",
        "credential": "LSW, MED.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-01-19",
        "last_updated": "2023-01-19",
        "certification_date": "2023-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "PA",
            "license": "SW139976",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://www.moorestowntherapy.com",
            "affiliation": "N",
            "address_1": "401 S 2nd St Ste 401",
            "city": "Philadelphia",
            "state": "PA",
            "country_code": "US",
            "postal_code": "191471612",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Julia English Geer
• Marisa Gefen, M.D.
• Sophia R Geffen, CRNP
• Warren B Gefter, MD
• Laura Jaye Geftman, MSS, LSW
• Christina Kay Gehman, PA-C
• Nicole Gehret
• Brielle Gehringer, MS, CGC
• Philip R Gehrman, PHD
• Osnat Geifman-Holtzman, MD

• Social Worker in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Social Worker in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2023; 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.