L'Tanya Geddie
Individual provider Active NPI Clinical Social Worker · Woodlawn, MD
NPI 1992199491 · NPPES record last updated Mar 23, 2015
Key facts
- NPI
- 1992199491
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 05920 (MD)
- Practice address
- 6665 Security Blvd
Woodlawn, MD 21207-4018 - Phone
- (410) 265-7291
- Fax
- (410) 265-7294
- NPI assigned
- Mar 23, 2015
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 05920 | MD | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MSBC Five Star Program Inc | Clinical | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 05920 | MD | Yes |
Addresses
Primary practice location
6665 Security Blvd
Woodlawn, MD 21207-4018
Mailing address
6665 Security Blvd
Woodlawn, MD 21207-4018
Phone (410) 265-7291
Other providers in Woodlawn, MD
- Facing Fears Therapy LLC
- Carley Foster
- Kortney Bryanna Foster
- Mary A. Fosu
- Brenda Garcia-Arevalo
- Genesis Mental Healthcare Services, LLC
- Nikhil Gera
- Kimberly Gordon-Achebe
- Nicole Green
- Michael Gruettner
All providers in Woodlawn, MD · Clinical Social Worker in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 23, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.