Individual provider Active NPI

Geoffrey Scott Genser, L.C.S.W.

  • Clinical Social Worker
  • West Hartford, CT
National Provider Identifier
1033214705
Registry record updated Jul 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
005336 Issued in CT
Practice address
15 N Main St
3Rd Floor
West Hartford, CT 06107-1974
Phone
(860) 570-0877
Fax
(860) 264-4737
NPI assigned
Sep 14, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 1, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 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 5

IdentifierTypeStateIssuer
004243052MedicaidCT
244683591OtherCTUNITED BEHAVIORAL HEALTH
349753OtherCTMHN/HMC
140005336CT03OtherCTANTHEM BC/BS
P3514264OtherCTOXFORD HEALTH PLANS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
005336CTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Geoff Genser, LCSW, LLC Clinical Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214870400000",
    "number": "1033214705",
    "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": {
        "last_name": "GENSER",
        "first_name": "GEOFFREY",
        "middle_name": "SCOTT",
        "name_prefix": "Mr.",
        "credential": "L.C.S.W.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-14",
        "last_updated": "2008-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "005336",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004243052",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED BEHAVIORAL HEALTH",
            "identifier": "244683591",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MHN/HMC",
            "identifier": "349753",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BC/BS",
            "identifier": "140005336CT03",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD HEALTH PLANS",
            "identifier": "P3514264",
            "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 1, 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.