Provider Demographics
NPI:1881969376
Name:GERAMANIS, ANASTASIA A (LCSW)
Entity type:Individual
Prefix:
First Name:ANASTASIA
Middle Name:A
Last Name:GERAMANIS
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 1:703 60TH STREET CT E
Mailing Address - Street 2:SUTE F
Mailing Address - City:BRADENTON
Mailing Address - State:FL
Mailing Address - Zip Code:34208-6278
Mailing Address - Country:US
Mailing Address - Phone:813-992-4082
Mailing Address - Fax:941-752-0774
Practice Address - Street 1:703 60TH STREET CT E
Practice Address - Street 2:SUITE F
Practice Address - City:BRADENTON
Practice Address - State:FL
Practice Address - Zip Code:34208-6278
Practice Address - Country:US
Practice Address - Phone:813-992-4082
Practice Address - Fax:941-251-4053
Is Sole Proprietor?:Yes
Enumeration Date:2012-03-15
Last Update Date:2014-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW101201041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical