Healthcare Provider Details

I. General information

NPI: 1730552803
Provider Name (Legal Business Name): LAURA K GEVER MSW, LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/11/2015
Last Update Date: 06/29/2020
Certification Date: 06/29/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

22 GORDON AVE
LAWRENCEVILLE NJ
08648-1033
US

IV. Provider business mailing address

PO BOX 6573
LAWRENCEVILLE NJ
08648-0573
US

V. Phone/Fax

Practice location:
  • Phone: 609-844-0452
  • Fax: 609-844-0518
Mailing address:
  • Phone: 609-844-0452
  • Fax: 609-844-0518

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number44SC05641800
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: