MEDICARE: GERIATRIC COUNSELING LLC

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

General Provider Information

NPI Number	:	1396556866
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GERIATRIC COUNSELING LLC

Provider Business Mailing Address
First Line	:	9431 E JENAN DR
Second Line	:
City	:	SCOTTSDALE
State	:	AZ
Zip	:	85260-5807
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	9431 E JENAN DR
Second Line	:
City	:	SCOTTSDALE
State	:	AZ
Zip	:	85260-5807
Country	:	US
Telephone Number	:	480-231-5685
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	SANDRA NAYLOR
Credential	:	LCSW
Telephone Number	:	480-231-5685

Provider Enumeration Date	:	01/15/2025
Last Update Date	:	07/01/2026

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