Healthcare Provider Details

I. General information

NPI: 1821196189
Provider Name (Legal Business Name): JANE KATHRYN GELSI LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/20/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

ONE STONE PLACE STE 305
BRONXVILLE NY
10708
US

IV. Provider business mailing address

ONE STONE PLACE STE 305
BRONXVILLE NY
10708
US

V. Phone/Fax

Practice location:
  • Phone: 914-337-3179
  • Fax: 718-824-2846
Mailing address:
  • Phone: 914-337-3179
  • Fax: 718-824-2846

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberR0346811
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: