Provider Demographics
NPI:1770082836
Name:RASIK, GENEVIEVE TREFELNER (MSW, LISW-S)
Entity type:Individual
Prefix:
First Name:GENEVIEVE
Middle Name:TREFELNER
Last Name:RASIK
Suffix:
Gender:F
Credentials:MSW, LISW-S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7213 WHISPERING OAK DR
Mailing Address - Street 2:
Mailing Address - City:SYLVANIA
Mailing Address - State:OH
Mailing Address - Zip Code:43560-1326
Mailing Address - Country:US
Mailing Address - Phone:772-485-6742
Mailing Address - Fax:567-317-2761
Practice Address - Street 1:3178 N REPUBLIC BLVD STE 12C
Practice Address - Street 2:
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43615-1509
Practice Address - Country:US
Practice Address - Phone:772-485-6742
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-02-05
Last Update Date:2024-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHS.1801866104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker