Geraldine Moore Manahan, M.S.W., L.C.S.W.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

089354 Issued in NY

Practice address

5240 Oak Harbor Rd
Trumansburg, NY 14886-9250

Phone

(078) 820-1466

Fax

(315) 873-2883

NPI assigned

Dec 19, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1450483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663804800000",
    "number": "1831554781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "313 N AURORA ST",
            "city": "ITHACA",
            "state": "NY",
            "postal_code": "148504201",
            "telephone_number": "607-229-3123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5240 OAK HARBOR RD",
            "city": "TRUMANSBURG",
            "state": "NY",
            "postal_code": "148869250",
            "telephone_number": "078-820-1466",
            "fax_number": "315-873-2883"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "950 Danby Rd Ste 312",
            "address_purpose": "LOCATION",
            "city": "Ithaca",
            "state": "NY",
            "postal_code": "148505778",
            "country_code": "US",
            "telephone_number": "607-229-3123",
            "fax_number": "315-873-2883",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MANAHAN",
        "first_name": "GERALDINE",
        "middle_name": "MOORE",
        "name_prefix": "Ms.",
        "credential": "M.S.W., L.C.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-12-19",
        "last_updated": "2022-09-22",
        "certification_date": "2022-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "72-093628",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NJ",
            "license": "44SL04689400",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "089354",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alan Palmer Leonard II, DC
• Jennifer Tucci Leroux, M.A., CCC-SLP
• Eric Lessinger, MD
• Mary Ellen Lourey, LCSW-R
• Cherilyn Mallory, LPN
• Joyce Ann Marsh, LCSW
• Jamie Carpenter McCaffrey, LCSW
• Maura C McCauley, MD
• Medical Office of Lessinger, Soboroff and Anderson, PLLC
• Joshua Messerschmitt

• Clinical Social Worker in Trumansburg, NY
• Providers in Trumansburg, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2022; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.