Provider Demographics
NPI:1821973199
Name:GEE, IVA C (LMSW)
Entity type:Individual
Prefix:
First Name:IVA
Middle Name:C
Last Name:GEE
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:MS
Other - First Name:IVA
Other - Middle Name:CELESTE
Other - Last Name:GEE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LMSW
Mailing Address - Street 1:2159 PARK AVE
Mailing Address - Street 2:
Mailing Address - City:BRIDGEPORT
Mailing Address - State:CT
Mailing Address - Zip Code:06604-1914
Mailing Address - Country:US
Mailing Address - Phone:203-383-3933
Mailing Address - Fax:
Practice Address - Street 1:2159 PARK AVE
Practice Address - Street 2:
Practice Address - City:BRIDGEPORT
Practice Address - State:CT
Practice Address - Zip Code:06604-1914
Practice Address - Country:US
Practice Address - Phone:203-383-3933
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-07
Last Update Date:2025-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT8063104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker