Healthcare Provider Details

I. General information

NPI: 1952435455
Provider Name (Legal Business Name): EDWARD M GERATY LCSW-C
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/15/2007
Last Update Date: 06/19/2025
Certification Date: 06/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2 OAKWAY RD
TIMONIUM MD
21093-4236
US

IV. Provider business mailing address

114 OAKWAY RD
TIMONIUM MD
21093-4339
US

V. Phone/Fax

Practice location:
  • Phone: 410-804-1934
  • Fax: 410-882-1079
Mailing address:
  • Phone: 410-804-1934
  • Fax: 410-882-1079

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number09049012818
License Number StateVA
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberLC50082927
License Number StateDC
# 3
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number100097
License Number StateNY
# 4
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberDP00945920
License Number StateWV
# 5
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number10009
License Number StateMD

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

# 1
Identifier548302600
Identifier TypeMEDICAID
Identifier StateMD
Identifier Issuer
# 2
IdentifierBK820001
Identifier TypeOTHER
Identifier StateMD
Identifier IssuerCAREFIRST BLUECROSS BLUESHIELD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: