Provider Demographics
NPI:1134298904
Name:ZEGER, GEOFFREY CRAIG (LCSW)
Entity Type:Individual
Prefix:
First Name:GEOFFREY
Middle Name:CRAIG
Last Name:ZEGER
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4004 BEN FRANKLIN BLVD.
Mailing Address - Street 2:SUITE 230
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27704
Mailing Address - Country:US
Mailing Address - Phone:919-479-1600
Mailing Address - Fax:919-479-5551
Practice Address - Street 1:4004 BEN FRANKLIN BLVD
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27704-2138
Practice Address - Country:US
Practice Address - Phone:919-479-1600
Practice Address - Fax:919-479-5551
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-07
Last Update Date:2020-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
1041C0700X
NCC0008541041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC6002693Medicaid
2878627AOtherMEDICARE PTAN
2878627AOtherMEDICARE PTAN