Provider Demographics
NPI:1831157445
Name:GEISLER, SHLOMIT (LCSW)
Entity type:Individual
Prefix:MS
First Name:SHLOMIT
Middle Name:
Last Name:GEISLER
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 1:270 MARIN BLVD
Mailing Address - Street 2:#21T
Mailing Address - City:JERSEY CITY
Mailing Address - State:NJ
Mailing Address - Zip Code:07302
Mailing Address - Country:US
Mailing Address - Phone:212-238-7431
Mailing Address - Fax:212-238-7009
Practice Address - Street 1:227 MADISON STREET
Practice Address - Street 2:GOUVERNEUR HEALTH CARE SVCS
Practice Address - City:NYC
Practice Address - State:NY
Practice Address - Zip Code:10002
Practice Address - Country:US
Practice Address - Phone:212-238-7431
Practice Address - Fax:212-238-7668
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-03
Last Update Date:2009-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0317081041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYA400015664Medicare PIN