Provider Demographics
NPI:1699801209
Name:COMPTON, GERALDINE (GERI) MARIE (MSW, LSCSW)
Entity type:Individual
Prefix:MS
First Name:GERALDINE (GERI)
Middle Name:MARIE
Last Name:COMPTON
Suffix:
Gender:F
Credentials:MSW, LSCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5460 BUENA VISTA ST STE 207
Mailing Address - Street 2:
Mailing Address - City:ROELAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66205-2455
Mailing Address - Country:US
Mailing Address - Phone:913-908-4746
Mailing Address - Fax:913-384-0508
Practice Address - Street 1:5460 BUENA VISTA ST STE 207
Practice Address - Street 2:
Practice Address - City:ROELAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66205-2455
Practice Address - Country:US
Practice Address - Phone:913-908-4746
Practice Address - Fax:913-384-0508
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-26
Last Update Date:2012-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS9451041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical