Generations Life Care, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CW017614 Issued in PA

Legal business name

GENERATIONS LIFE CARE, LLC

Practice address

1290 Baltimore Pike Ste 4
Chadds Ford, PA 19317-7361

Phone

(610) 558-9600

Fax

(610) 601-1540

NPI assigned

Nov 24, 2017

Organization subpart

No

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

Authorized official

Name

Edythe Anne Shapiro, LCSWNPI 1245735265

Title

Executive Director

Phone

(610) 558-9600

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Locations

Practitioners 3

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

• Edythe A Shapiro, LCSW

  • Clinical Social Worker
  • Chadds Ford, PA
  • NPI 1245735265
  Medicare reassignment Authorized official
• Jeannette Cassidy Moore, LCSW

  • Clinical Social Worker
  • Ambler, PA
  • NPI 1174153480
  Medicare reassignment
• Erin King, LCSW

  • Clinical Social Worker
  • Chadds Ford, PA
  • NPI 1437827318
  NPD

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

{
    "created_epoch": "1511481600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1511481600000",
    "number": "1144734401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1290 BALTIMORE PIKE STE 4",
            "city": "CHADDS FORD",
            "state": "PA",
            "postal_code": "193177361",
            "telephone_number": "610-558-9600",
            "fax_number": "610-601-1540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1290 BALTIMORE PIKE STE 4",
            "city": "CHADDS FORD",
            "state": "PA",
            "postal_code": "193177361",
            "telephone_number": "610-558-9600",
            "fax_number": "610-601-1540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENERATIONS LIFE CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-24",
        "last_updated": "2017-11-24",
        "status": "A",
        "authorized_official_last_name": "SHAPIRO",
        "authorized_official_first_name": "EDYTHE",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "610-558-9600",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW017614",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Natalie Frentzel, PT
• Nayla Fuentes, MASTER DEGREE
• Full Motion Medical
• Jennifer A. Fulton, LCSW
• Jennifer Gallo, PHD
• Janine Lizette Gilchrist, MA
• Angela Reyer Gillespie, LPC
• Diane Russell Girardot, LPC
• Golden Hour Professional Counseling LLC
• Mary Patricia Gomella, MD

• Clinical Social Worker in Chadds Ford, PA
• Providers in Chadds Ford, PA by specialty
• Clinical Social Worker in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.