National Provider Identifier
Jeffery Dale Gephart
Jeffery Dale Gephart is listed in the NPPES registry with a primary specialty of Clinical Social Worker in Le Roy, NY and a listed phone number of (585) 502-6025.
Profile Overview
- NPI
- 1881101491
- Provider Type
- Individual
- Primary Specialty
- Clinical Social Worker
- Enumeration Date
- January 04, 2018
- Last Updated
- July 05, 2023
Practice Location
- 71 Main St
- Le Roy, NY 14482-1444
Phone: (585) 502-6025
Specialties
- Clinical Social Worker (1041C0700X)
Full Record
- NPI
- 1881101491
- Entity Type
- Individual
- Last Name
- Gephart
- First Name
- Jeffery
- Middle Name
- Dale
- Mailing Street Address
- 71 Main St
- Mailing City
- Le Roy
- Mailing State
- NY
- Mailing ZIP Code
- 14482-1444
- Mailing Country
- US
- Mailing Phone
- (585) 502-6025
- Practice Street Address
- 71 Main St
- Practice City
- Le Roy
- Practice State
- NY
- Practice ZIP Code
- 14482-1444
- Practice Country
- US
- Practice Phone
- (585) 502-6025
- Enumeration Date
- January 04, 2018
- Last Updated
- July 05, 2023
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- July 05, 2023
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Clinical Social Worker (1041C0700X)