Healthcare Provider Details

I. General information

NPI: 1215344395
Provider Name (Legal Business Name): DENISE GEFFKE-RAMOS LCSW, LCADC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/21/2014
Last Update Date: 07/22/2022
Certification Date: 07/22/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

27 LAKE AVE
SOMERSET NJ
08873-3326
US

IV. Provider business mailing address

27 LAKE AVE
SOMERSET NJ
08873-3326
US

V. Phone/Fax

Practice location:
  • Phone: 201-417-3778
  • Fax:
Mailing address:
  • Phone: 201-417-3778
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number44SC05600600
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: