Provider Demographics
NPI:1306900204
Name:GEIER, PATTI (LCSW)
Entity type:Individual
Prefix:MS
First Name:PATTI
Middle Name:
Last Name:GEIER
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:473 4TH ST
Mailing Address - Street 2:APT #3R
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11215-3087
Mailing Address - Country:US
Mailing Address - Phone:347-262-0905
Mailing Address - Fax:718-788-4728
Practice Address - Street 1:473 4TH ST
Practice Address - Street 2:APT #3R
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11215-3087
Practice Address - Country:US
Practice Address - Phone:347-262-0905
Practice Address - Fax:718-788-4728
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR031706-11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical