Provider Demographics
NPI:1073779278
Name:CURRY, GERALDINE REMBERT (SW)
Entity Type:Individual
Prefix:MS
First Name:GERALDINE
Middle Name:REMBERT
Last Name:CURRY
Suffix:
Gender:F
Credentials:SW
Other - Prefix:MS
Other - First Name:GERALDINE
Other - Middle Name:BERNICE
Other - Last Name:REMBERT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:SW
Mailing Address - Street 1:812 GRISWOLD RD
Mailing Address - Street 2:POST OFFICE BOX 15
Mailing Address - City:FAIRFIELD
Mailing Address - State:AL
Mailing Address - Zip Code:35064-2812
Mailing Address - Country:US
Mailing Address - Phone:205-788-2647
Mailing Address - Fax:
Practice Address - Street 1:812 GRISWOLD RD
Practice Address - Street 2:POST OFFICE BOX 15
Practice Address - City:FAIRFIELD
Practice Address - State:AL
Practice Address - Zip Code:35064-2812
Practice Address - Country:US
Practice Address - Phone:205-788-2647
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-08-06
Last Update Date:2016-02-15
Deactivation Date:2016-02-01
Deactivation Code:
Reactivation Date:2016-02-15
Provider Licenses
StateLicense IDTaxonomies
AL0070C104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker