Provider Demographics
NPI:1700078318
Name:GEIGER, VIVIAN (LCSW)
Entity Type:Individual
Prefix:MISS
First Name:VIVIAN
Middle Name:
Last Name:GEIGER
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:PO BOX 15294
Mailing Address - Street 2:
Mailing Address - City:BEVERLY HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:90209-1294
Mailing Address - Country:US
Mailing Address - Phone:310-829-7744
Mailing Address - Fax:310-453-0288
Practice Address - Street 1:2444 WILSHIRE BLVD
Practice Address - Street 2:SUITE 307
Practice Address - City:SANTA MONICA
Practice Address - State:CA
Practice Address - Zip Code:90403-5808
Practice Address - Country:US
Practice Address - Phone:310-828-7744
Practice Address - Fax:310-453-0288
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-16
Last Update Date:2007-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALIC57811041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical