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NPI Code Detail

MEDICARE: GENESIS ANIYARED GONZALEZ-GEBELHOFF LICSW

MEDICARE:   GENESIS ANIYARED GONZALEZ-GEBELHOFF  LICSW
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
1104100000XSocial WorkerLG200001555DC
21041C0700XClinical Social WorkerLC200003663DC

General Provider Information

NPI Number : 1457117483
Entity Type Code : Individual
Provider Name (Legal Business Name) : GENESIS ANIYARED GONZALEZ-GEBELHOFF LICSW
Provider Business Mailing Address
First Line : 425 MASSACHUSETTS AVE NW APT 1223
Second Line :
City : WASHINGTON
State : DC
Zip : 20001-7652
Country : US
Telephone Number : 240-413-7988
Fax Number :
Provider Business Practice Location Address
First Line : 425 MASSACHUSETTS AVE NW APT 1223
Second Line :
City : WASHINGTON
State : DC
Zip : 20001-7652
Country : US
Telephone Number : 240-413-7988
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/27/2024
Last Update Date : 12/22/2025

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Directions to “ GENESIS ANIYARED GONZALEZ-GEBELHOFF LICSW” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.