NPIMap

Organization Active NPI

Mary E Genkins DSW LCSW PC

  • Clinical Social Worker
  • New York, NY
National Provider Identifier
1003145673
Registry record updated Sep 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
PR020236-1 Issued in NY
Legal business name
MARY E GENKINS DSW LCSW PC
Practice address
430 E 63Rd St
Apt 12L
New York, NY 10065-7994
Phone
(212) 838-9257
Fax
(212) 207-6615
NPI assigned
Dec 10, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Mary Eleanor Genkins, DSW LCSW
Title
President
Phone
(212) 838-9257

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X PR020236-1 NY Primary

Addresses

Primary practice location

430 E 63Rd St
Apt 12L
New York, NY 10065-7994

Mailing address

430 E 63Rd St
Apt 12L
New York, NY 10065-7994
Phone (212) 838-9257

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1260403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348012800000",
    "number": "1003145673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "430 E 63RD ST",
            "address_2": "APT 12L",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100657994",
            "telephone_number": "212-838-9257",
            "fax_number": "212-207-6615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 E 63RD ST",
            "address_2": "APT 12L",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100657994",
            "telephone_number": "212-838-9257",
            "fax_number": "212-207-6615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARY E GENKINS DSW LCSW PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-10",
        "last_updated": "2012-09-19",
        "status": "A",
        "authorized_official_last_name": "GENKINS",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "ELEANOR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "212-838-9257",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DSW LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "PR020236-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.