Active NPI
Geeta Shelly Prasad
- Clinical Social Worker
- Townsend, DE
National Provider Identifier
1982241113
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Practice address
- 640 Ravenglass Drive
Townsend, DE 19734-1973 - Phone
- (347) 257-4407
- NPI assigned
- Dec 6, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | DE | Primary |
Addresses
Primary practice location
640 Ravenglass Drive
Townsend, DE 19734-1973
Mailing address
5700 Kirkwood Hwy Ste 204
Wilmington, DE 19808-4884
Phone (302) 709-1303
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | middletown | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1575590400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1575590400000",
"number": "1982241113",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5700 KIRKWOOD HWY STE 204",
"city": "WILMINGTON",
"state": "DE",
"postal_code": "198084884",
"telephone_number": "302-709-1303"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "640 RAVENGLASS DRIVE",
"city": "TOWNSEND",
"state": "DE",
"postal_code": "197341973",
"telephone_number": "347-257-4407"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRASAD",
"first_name": "GEETA",
"middle_name": "SHELLY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-12-06",
"last_updated": "2019-12-06",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "DE",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "middletown",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Townsend",
"address_1": "5700 Kirkwood Hwy Ste 204",
"city": "Wilmington",
"state": "DE",
"country_code": "US",
"postal_code": "198084884",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Townsend, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.