Provider Demographics
NPI:1407175508
Name:KAPLAN-GESTEN, RANDI PATRICIA (MSW)
Entity Type:Individual
Prefix:
First Name:RANDI
Middle Name:PATRICIA
Last Name:KAPLAN-GESTEN
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:116 ESTRELLAS DE TANO
Mailing Address - Street 2:
Mailing Address - City:SANTA FE
Mailing Address - State:NM
Mailing Address - Zip Code:87506
Mailing Address - Country:US
Mailing Address - Phone:505-989-7093
Mailing Address - Fax:
Practice Address - Street 1:116 ESTRELLAS DE TANO
Practice Address - Street 2:
Practice Address - City:SANTA FE
Practice Address - State:NM
Practice Address - Zip Code:87506-7520
Practice Address - Country:US
Practice Address - Phone:505-989-7093
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-05-28
Last Update Date:2010-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMI-17261041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical