Geralds, Shantia Nicole

Geralds, Shantia Nicole is an sole proprietor health care provider with primary practice located at 70 E Sunrise Hwy Ste 500 , Valley Stream NY 11581-1233. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Geralds, Shantia Nicole can be contacted via phone (516) 884-9977.

Contact Information

Primary practice address
70 E Sunrise Hwy Ste 500 Valley Stream NY 11581-1233
Phone: (516) 884-9977
Fax: (718) 478-3456
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X 085254 New York
Behavioral Health & Social Service Providers / Clinical 1041C0700X 087672 New York

Profile Details

NPI number 1093075087
LBN Legal business name Geralds, Shantia Nicole
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 23rd, 2012
Last updated Aug 5th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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