National Provider Identifier
Geraldine Moore Manahan, M.S.W., L.C.S.W.
Geraldine Moore Manahan, M.S.W., L.C.S.W. is listed in the NPPES registry with a primary specialty of Clinical Social Worker in Trumansburg, NY and a listed phone number of (078) 820-1466.
Profile Overview
- NPI
- 1831554781
- Provider Type
- Individual
- Primary Specialty
- Clinical Social Worker
- Enumeration Date
- December 19, 2015
- Last Updated
- September 22, 2022
Practice Location
- 5240 Oak Harbor RD
- Trumansburg, NY 14886-9250
Phone: (078) 820-1466
Mailing Address
- 313 N Aurora St
- Ithaca, NY 14850-4201
Specialties
- Clinical Social Worker (1041C0700X)
- Social Worker (104100000X)
Full Record
- NPI
- 1831554781
- Entity Type
- Individual
- Last Name
- Manahan
- First Name
- Geraldine
- Middle Name
- Moore
- Name Prefix
- MS.
- Credential
- M.S.W., L.C.S.W.
- Mailing Street Address
- 313 N Aurora St
- Mailing City
- Ithaca
- Mailing State
- NY
- Mailing ZIP Code
- 14850-4201
- Mailing Country
- US
- Mailing Phone
- (607) 229-3123
- Practice Street Address
- 5240 Oak Harbor RD
- Practice City
- Trumansburg
- Practice State
- NY
- Practice ZIP Code
- 14886-9250
- Practice Country
- US
- Practice Phone
- (078) 820-1466
- Practice Fax
- (315) 873-2883
- Enumeration Date
- December 19, 2015
- Last Updated
- September 22, 2022
- Sex
- Female
- Sole Proprietor
- Yes
- Certification Date
- September 22, 2022
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Clinical Social Worker (1041C0700X), Social Worker (104100000X)