Eric N Genheimer, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801080094 Issued in MI

Practice address

3950 S Rochester Rd
Suite 1400
Rochester Hills, MI 48307-5160

Phone

(248) 844-6234

Fax

(248) 844-6237

NPI assigned

Oct 23, 2012

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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

• Henry Ford Health Eastwood Behavioral Health

  dba Eastwood Clinics

  • Social Worker
  • Clinton Township, MI
  • NPI 1396787701
  NPD (past)

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

{
    "created_epoch": "1350950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350950400000",
    "number": "1073866497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3950 S ROCHESTER RD",
            "address_2": "SUITE 1400",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483075160",
            "telephone_number": "248-844-6234",
            "fax_number": "248-844-6237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3950 S ROCHESTER RD",
            "address_2": "SUITE 1400",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483075160",
            "telephone_number": "248-844-6234",
            "fax_number": "248-844-6237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GENHEIMER",
        "first_name": "ERIC",
        "middle_name": "N",
        "name_prefix": "Mr.",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-10-23",
        "last_updated": "2012-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801080094",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF MICHIGAN DEPT OF LICENSING AND REGULATORY AFFAIRS BOARD OF SOCIAL WORK",
            "identifier": "6801080094",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Generations Dental
• Generations Family Support Services, LLC
• Generations Home Care LLC
• Generations Home Care, LLC (Alliance Home Care Services)
• Geneva Management (Boulevard Hills)
• Gennell M Gentile, RDH
• Kerri Gentry, LLMSW
• Mathew George
• Kristy Lynn Gerke, MA, LLC
• Ghabsha MD PLLC

• Clinical Social Worker in Rochester Hills, MI
• Providers in Rochester Hills, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 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.