Provider Demographics
NPI:1073592341
Name:GEIER, PATRICIA ANN (LCSW)
Entity Type:Individual
Prefix:
First Name:PATRICIA
Middle Name:ANN
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 1:1400 BROWNS LN
Mailing Address - Street 2:STE B
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40207-4696
Mailing Address - Country:US
Mailing Address - Phone:502-454-0019
Mailing Address - Fax:502-451-8374
Practice Address - Street 1:1400 BROWNS LN
Practice Address - Street 2:STE B
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40207-4696
Practice Address - Country:US
Practice Address - Phone:502-454-0019
Practice Address - Fax:502-451-8374
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-13
Last Update Date:2017-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY3581041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
KYCSW0056Medicare PIN