Provider Demographics
NPI:1689297897
Name:GEISMAR, ANN HORNICK (LCSW)
Entity Type:Individual
Prefix:MS
First Name:ANN
Middle Name:HORNICK
Last Name:GEISMAR
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:ANN
Other - Middle Name:
Other - Last Name:GEISMAR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1928 SW PINEWOOD WAY
Mailing Address - Street 2:
Mailing Address - City:PALM CITY
Mailing Address - State:FL
Mailing Address - Zip Code:34990-1364
Mailing Address - Country:US
Mailing Address - Phone:772-485-1112
Mailing Address - Fax:772-382-2888
Practice Address - Street 1:1928 SW PINEWOOD WAY
Practice Address - Street 2:
Practice Address - City:PALM CITY
Practice Address - State:FL
Practice Address - Zip Code:34990-1364
Practice Address - Country:US
Practice Address - Phone:772-485-1112
Practice Address - Fax:772-382-2888
Is Sole Proprietor?:Yes
Enumeration Date:2020-05-21
Last Update Date:2023-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW31601041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical