MEDICARE: HEATHER GESINO LMSW

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	104100000X	Social Worker	50472	TX
2	1041C0700X	Clinical Social Worker	50472	TX

General Provider Information

NPI Number	:	1639841125
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HEATHER GESINO LMSW

Provider Business Mailing Address
First Line	:	750 N FIELDER RD
Second Line	:
City	:	ARLINGTON
State	:	TX
Zip	:	76012-4635
Country	:	US
Telephone Number	:	469-834-3919
Fax Number	:

Provider Business Practice Location Address
First Line	:	2600 COMMERCE WAY
Second Line	:
City	:	KAUFMAN
State	:	TX
Zip	:	75142-7325
Country	:	US
Telephone Number	:	972-750-3177
Fax Number	:	972-932-7007

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/02/2021
Last Update Date	:	03/27/2024

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Directions to “ HEATHER GESINO LMSW” Practice Location

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