Provider Demographics
NPI:1184483133
Name:GEIER FRIEDRICHS, JESSICA (LSW)
Entity type:Individual
Prefix:
First Name:JESSICA
Middle Name:
Last Name:GEIER FRIEDRICHS
Suffix:
Gender:F
Credentials:LSW
Other - Prefix:
Other - First Name:JESSI
Other - Middle Name:
Other - Last Name:FRIEDRICHS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LSW
Mailing Address - Street 1:14701 CUMBERLAND RD STE 170
Mailing Address - Street 2:
Mailing Address - City:NOBLESVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:46060-8715
Mailing Address - Country:US
Mailing Address - Phone:317-537-7906
Mailing Address - Fax:
Practice Address - Street 1:14701 CUMBERLAND RD STE 170
Practice Address - Street 2:
Practice Address - City:NOBLESVILLE
Practice Address - State:IN
Practice Address - Zip Code:46060-8715
Practice Address - Country:US
Practice Address - Phone:317-537-7906
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-03-13
Last Update Date:2024-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN33011703A104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker