Provider Demographics
NPI:1275084402
Name:GEIGER, LUKE (MSW, LCSW, CSAC)
Entity Type:Individual
Prefix:
First Name:LUKE
Middle Name:
Last Name:GEIGER
Suffix:
Gender:M
Credentials:MSW, LCSW, CSAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:737 E ELDORADO ST
Mailing Address - Street 2:
Mailing Address - City:APPLETON
Mailing Address - State:WI
Mailing Address - Zip Code:54911-5507
Mailing Address - Country:US
Mailing Address - Phone:920-280-2077
Mailing Address - Fax:
Practice Address - Street 1:737 E ELDORADO ST
Practice Address - Street 2:
Practice Address - City:APPLETON
Practice Address - State:WI
Practice Address - Zip Code:54911-5507
Practice Address - Country:US
Practice Address - Phone:920-280-2077
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-10-24
Last Update Date:2024-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI16254-132101YA0400X, 101YA0400X
WI9177-1231041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical