MICHAEL DAVID GERACI (NPI# 1275187619) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275187619 |
| Entity Type | Individual |
| Full Name | MICHAEL DAVID GERACI |
| Credential | LCSW |
| Practice Address |
17154 W Hoff Rd Elwood IL 60421-9440 |
| Mailing Address |
2828 Sun Valley Dr Plainfield IL 60586-6651 |
| Practice Telephone | 8154787625 |
| Mailing Telephone | 8153705479 |
| Enumeration Date | 2019-07-24 |
| Last Update Date | 2019-07-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
149021138 | IL | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760431068 | Michael Charles Geraci Jr. | Physical Medicine & Rehabilitation | 52 S Union Rd, Suite 202, Williamsville, NY 14221-6509 | 2006-05-06 |
| 1396035796 | Michael Geraci | Counselor | 15127 S 73rd Ave, Suite G, Orland Park, IL 60462-4398 | 2011-04-19 |
| Street Address |
17154 W HOFF RD |
| City | ELWOOD |
| State | IL |
| Zip Code | 60421-9440 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386813053 | Trinity Services Inc. | Clinic/Center | 17154 W Hoff Rd, Elwood, IL 60421-9440 | 2008-02-26 |
| 1386901247 | Tyler Donald Demers | Psychologist | 17154 W Hoff Rd, Elwood, IL 60421-9440 | 2012-04-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679090112 | Donna Lee Lyle | Registered Nurse | 1 Shadynook Unit C, Elwood, IL 60421 | 2017-08-25 |
| 1902963010 | William Francis Mcnierney Jr. | Podiatrist | 209 Woodbine Dr, Elwood, IL 60421-6029 | 2007-01-02 |
| 1386831287 | Mcnierney Podiatry, P.C. | Podiatrist | 209 Woodbine Dr, Elwood, IL 60421-6029 | 2007-09-25 |
| 1750716338 | Dana Louise Pich | Developmental Therapist | 940 Meadowbrook Rd, Elwood, IL 60421-6067 | 2013-09-13 |
| 1952459034 | Kimberly Zbella | Specialist/Technologist | 26453 Center Point Dr, Elwood, IL 60421-6112 | 2007-01-08 |
| 1235144734 | Elwood Fire Protection District | Ambulance | 309 W Mississippi St, Elwood, IL 60421-9211 | 2006-07-31 |
| 1154590784 | Trinity Services Inc. | Clinic/Center | 17150 W Hoff Rd, Elwood, IL 60421-9440 | 2008-02-28 |
| 1215427570 | Holly Ann Kavanaugh | Behavior Technician | 301 W Mississippi Ave, Elwood, IL 60421-9464 | 2018-05-12 |
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477198257 | Terry Brewer | Social Worker | 10731 N State Road 13, Elwood, IN 46036-8874 | 2019-11-15 |
| 1063773125 | Carol Naylor | Social Worker | 10731 N State Road 13, Elwood, IN 46036-8874 | 2012-06-06 |
| 1578836607 | Deeanna Adaleen Webb | Social Worker | 10731 N State Road 13, Elwood, IN 46036-8874 | 2012-02-21 |
| 1942369004 | Sheldon E Shalley | Social Worker | 10731 N State Road 13, Elwood, IN 46036-8874 | 2006-12-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447851241 | Courtney A Behrens | Social Worker | 150 Deerpath Rd, Algonquin, IL 60102-1861 | 2020-11-06 |
| 1801497623 | Sedulous Counseling & Consulting Services Pllc | Social Worker | 15255 S 94th Ave # 508, Orland Park, IL 60462-3800 | 2020-11-06 |
| 1295336022 | Web Healing Collective Pllc | Social Worker | 6207 N Springfield Ave, Chicago, IL 60659-1015 | 2020-11-06 |
| 1174124036 | Reginald Washington Edwards | Social Worker | 18660 Walnut Ave, Country Club Hills, IL 60478-5549 | 2020-11-05 |
| 1881295186 | Belva Marie Dibert | Social Worker | 6330 S Ingleside Ave Apt 3, Chicago, IL 60637-5784 | 2020-11-03 |
| 1801496468 | Monica Dushane | Social Worker | 125 N Buffalo Grove Rd Apt 110, Buffalo Grove, IL 60089-1722 | 2020-10-31 |
| 1528668373 | Stephanie Caballero Novak | Social Worker | Life Care Wellness, Inc., 800 Roosevelt Rd Building C Suite 206, Glen Ellyn, IL 60137 | 2020-10-30 |
| 1598365488 | Karyssa Lee Haase | Social Worker | 745 E Court St, Paris, IL 61944-2460 | 2020-10-29 |
| 1699375592 | Andrea Doherty | Social Worker | 526 Keystone Ave, River Forest, IL 60305-1612 | 2020-10-29 |
| 1861092835 | Lauren Less | Social Worker | 111 East Pearson St, Chicago, IL 60611 | 2020-10-29 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.