Provider Demographics
NPI:1821196189
Name:GELSI, JANE KATHRYN (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:JANE
Middle Name:KATHRYN
Last Name:GELSI
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:ONE STONE PLACE
Mailing Address - Street 2:STE 305
Mailing Address - City:BRONXVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:10708
Mailing Address - Country:US
Mailing Address - Phone:914-337-3179
Mailing Address - Fax:718-824-2846
Practice Address - Street 1:ONE STONE PLACE
Practice Address - Street 2:STE 305
Practice Address - City:BRONXVILLE
Practice Address - State:NY
Practice Address - Zip Code:10708
Practice Address - Country:US
Practice Address - Phone:914-337-3179
Practice Address - Fax:718-824-2846
Is Sole Proprietor?:No
Enumeration Date:2006-09-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR03468111041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NOA802Medicare ID - Type Unspecified