Genevi J Age, LCSWA, LCAS-A

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

P021939 Issued in NC

Practice address

4805 Green Rd Ste 103
Raleigh, NC 27616-2848

Phone

(919) 872-6220

Fax

(919) 872-6223

NPI assigned

Oct 17, 2017

Last updated

May 7, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1508198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778112000000",
    "number": "1053822130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1060 PADDINGTON AVE, NORTHEAST",
            "address_2": "SUITE 103",
            "city": "LELAND",
            "state": "NC",
            "postal_code": "28451",
            "telephone_number": "919-872-6220",
            "fax_number": "919-872-6223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4805 GREEN RD STE 103",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276162848",
            "telephone_number": "919-872-6220",
            "fax_number": "919-872-6223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGE",
        "first_name": "GENEVI",
        "middle_name": "J",
        "name_prefix": "Ms.",
        "credential": "LCSWA, LCAS-A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-17",
        "last_updated": "2026-05-07",
        "certification_date": "2026-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "LCAS-23005",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P021939",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Monica Devi Agarwal, MD
• Puneet Agarwal, MD
• Tarun Agarwal, DDS
• Jasmine Marie Agati
• Frederica Agbejule, LPN
• Aubrea Ageda
• Leigh Ann Agee-Mitchell
• Ashley Agee
• Christin Agens
• Bhawna Aggarwal, BCBA

• Clinical Social Worker in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2026; 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.