NPIMap

Organization Active NPI

Geoff Genser, LCSW, LLC

  • Clinical Social Worker
  • West Hartford, CT
National Provider Identifier
1003912221
Registry record updated Jul 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
005336 Issued in CT
Legal business name
GEOFF GENSER, LCSW, LLC
Practice address
15 N Main St
3Rd Floor
West Hartford, CT 06107-1974
Phone
(860) 570-0877
Fax
(860) 264-4737
NPI assigned
Sep 15, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2008

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

Authorized official

Name
Mr. Geoffrey Scott Genser, L.C.S.W.NPI 1033214705
Title
Outpatient Therapist
Phone
(860) 570-0877

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 005336 CT Primary

Addresses

Primary practice location

15 N Main St
3Rd Floor
West Hartford, CT 06107-1974

Mailing address

15 N Main St
3Rd Floor
West Hartford, CT 06107-1974
Phone (860) 570-0877

Other identifiers 6

IdentifierTypeStateIssuer
P3514264OtherCTOXFORD HEALTH PLAN
349753OtherCTAETNA
716456000OtherCTMAGELLAN
004243052MedicaidCT
140005336CT03OtherCTANTHEM BCBS
244683591OtherCTUNITED BEHAVIORAL HEALTH

National Provider Directory

National Provider Directory

Locations

15 N Main St
Fl 3
West Hartford, CT 06107
Phone (860) 570-0877

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1158278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214956800000",
    "number": "1003912221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 N MAIN ST",
            "address_2": "3RD FLOOR",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061071974",
            "telephone_number": "860-570-0877",
            "fax_number": "860-264-4737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 N MAIN ST",
            "address_2": "3RD FLOOR",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061071974",
            "telephone_number": "860-570-0877",
            "fax_number": "860-264-4737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEOFF GENSER, LCSW, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-15",
        "last_updated": "2008-07-02",
        "status": "A",
        "authorized_official_last_name": "GENSER",
        "authorized_official_first_name": "GEOFFREY",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "OUTPATIENT THERAPIST",
        "authorized_official_telephone_number": "860-570-0877",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "L.C.S.W."
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "005336",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD HEALTH PLAN",
            "identifier": "P3514264",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "349753",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLAN",
            "identifier": "716456000",
            "state": "CT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004243052",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "140005336CT03",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED BEHAVIORAL HEALTH",
            "identifier": "244683591",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Hartford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2008; 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.