Organization Active NPI

Geannine M. Lebude LLC

  • Clinical Social Worker
  • Cherry Hill, NJ
National Provider Identifier
1841589223
Registry record updated Apr 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC04328700 Issued in NJ
Legal business name
GEANNINE M. LEBUDE LLC
Practice address
1930 Marlton Pike E
Suite M69
Cherry Hill, NJ 08003-2150
Phone
(856) 874-9200
Fax
(856) 874-9801
NPI assigned
Apr 6, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2011

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

Authorized official

Name
Mrs. Geannine M. Lebude, MSS LCSW
Title
Owner/Therapist
Phone
(856) 874-9200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 44SC04328700 NJ Primary

Addresses

Primary practice location

1930 Marlton Pike E
Suite M69
Cherry Hill, NJ 08003-2150

Mailing address

1930 East Marlton Pike
Suite M69
Cherry Hill, NJ 08003
Phone (856) 874-9200

National Provider Directory

National Provider Directory

Locations

1930 Marlton Pike E
Ste M69
Cherry Hill, NJ 08003
Phone (856) 770-4167

NPI Registry JSON

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

{
    "created_epoch": "1302048000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302048000000",
    "number": "1841589223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1930 EAST MARLTON PIKE",
            "address_2": "SUITE M69",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "08003",
            "telephone_number": "856-874-9200",
            "fax_number": "856-874-9801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1930 MARLTON PIKE E",
            "address_2": "SUITE M69",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080032150",
            "telephone_number": "856-874-9200",
            "fax_number": "856-874-9801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEANNINE M. LEBUDE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-06",
        "last_updated": "2011-04-06",
        "status": "A",
        "authorized_official_last_name": "LEBUDE",
        "authorized_official_first_name": "GEANNINE",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "856-874-9200",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MSS LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC04328700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cherry Hill, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2011; 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.