MEDICARE: MRS. ROSENIR MUNIZ GERACI LCSW-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	10640	MD

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1942587274
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. ROSENIR MUNIZ GERACI LCSW-C

Provider Business Mailing Address
First Line	:	1717 ELTON RD
Second Line	:	SUITE 210
City	:	SILVER SPRING
State	:	MD
Zip	:	20903-1703
Country	:	US
Telephone Number	:	301-439-7200
Fax Number	:	301-439-5556

Provider Business Practice Location Address
First Line	:	1717 ELTON RD
Second Line	:	SUITE 210
City	:	SILVER SPRING
State	:	MD
Zip	:	20903-1703
Country	:	US
Telephone Number	:	301-439-7200
Fax Number	:	301-439-5556

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/15/2011
Last Update Date	:	08/08/2014

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