Provider Demographics
NPI:1962589028
Name:WARNER, GERALDINE ANN (LCSW, CSAC)
Entity type:Individual
Prefix:MS
First Name:GERALDINE
Middle Name:ANN
Last Name:WARNER
Suffix:
Gender:F
Credentials:LCSW, CSAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:USAG SCHWEINFURT
Mailing Address - Street 2:CMR 457 BOX 627
Mailing Address - City:APO
Mailing Address - State:AE
Mailing Address - Zip Code:09033
Mailing Address - Country:DE
Mailing Address - Phone:0114-993-2598
Mailing Address - Fax:354-6633
Practice Address - Street 1:USAG SCHWEINFURT
Practice Address - Street 2:CMR457 BOX 627
Practice Address - City:APO
Practice Address - State:AE
Practice Address - Zip Code:09033
Practice Address - Country:DE
Practice Address - Phone:0972-196-1710
Practice Address - Fax:0972-196-6633
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-01
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI849-97R101YA0400X
HI31251041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Not Answered1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical