Provider Demographics
NPI:1073852588
Name:GEBEY, CLARE LESLIE (LSW, LCSW-NY)
Entity type:Individual
Prefix:MS
First Name:CLARE
Middle Name:LESLIE
Last Name:GEBEY
Suffix:
Gender:F
Credentials:LSW, LCSW-NY
Other - Prefix:MRS
Other - First Name:CLARE
Other - Middle Name:LESLIE
Other - Last Name:LAROSA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LSW, LCSW-NY
Mailing Address - Street 1:1650 BROADWAY
Mailing Address - Street 2:KIDSPEACE, CAPTAIN WILEY BUILDING, 2ND FLOOR
Mailing Address - City:BETHLEHEM
Mailing Address - State:PA
Mailing Address - Zip Code:18015-3904
Mailing Address - Country:US
Mailing Address - Phone:610-799-7343
Mailing Address - Fax:610-799-8230
Practice Address - Street 1:1650 BROADWAY
Practice Address - Street 2:KIDSPEACE, CAPTAIN WILEY BUILDING, 2ND FLOOR
Practice Address - City:BETHLEHEM
Practice Address - State:PA
Practice Address - Zip Code:18015-3904
Practice Address - Country:US
Practice Address - Phone:610-799-7343
Practice Address - Fax:610-799-8230
Is Sole Proprietor?:No
Enumeration Date:2013-02-04
Last Update Date:2013-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0727981101Y00000X
PASW012011L171M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator
No101Y00000XBehavioral Health & Social Service ProvidersCounselor