Individual provider Active NPI

Genna Ayres, LCSW, MPH

  • Social Worker
  • Brooklyn, NY
National Provider Identifier
1104354463
Registry record updated Sep 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
000222755 Issued in MA
Practice address
630 Ocean Ave Apt 5H
Brooklyn, NY 11226-4433
Phone
(201) 669-2766
NPI assigned
May 31, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 13, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 000222755 MA Primary
Clinical Social Worker 1041C0700X 091536 NY

Addresses

Primary practice location

630 Ocean Ave Apt 5H
Brooklyn, NY 11226-4433

Mailing address

630 Ocean Ave Apt 5H
Brooklyn, NY 11226-4433

Other practice location 1

638 Rogers Ave
Brooklyn, NY 11226-8278
Phone (646) 494-7134

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
000222755MAMDSocial Worker
091536NYMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1496188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789257600000",
    "number": "1104354463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "630 OCEAN AVE APT 5H",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112264433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 OCEAN AVE APT 5H",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112264433",
            "telephone_number": "201-669-2766"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "638 Rogers Ave",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112268278",
            "country_code": "US",
            "telephone_number": "646-494-7134",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AYRES",
        "first_name": "GENNA",
        "credential": "LCSW, MPH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-05-31",
        "last_updated": "2026-09-13",
        "certification_date": "2026-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MA",
            "license": "000222755",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "091536",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.