Individual provider Active NPI

Giannci Genau, LCSW

  • Clinical Social Worker
  • Middletown, NY
National Provider Identifier
1164993531
Registry record updated Jul 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
096833 Issued in NY
Practice address
16 Union St
Middletown, NY 10940-4906
Phone
(845) 343-5556
Fax
(845) 343-3341
NPI assigned
Dec 11, 2018
Last updated
Jul 5, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2024

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 NU
Clinical Social Worker 1041C0700X 096833 NY Primary

Addresses

Primary practice location

16 Union St
Middletown, NY 10940-4906

Mailing address

16 Union St
Middletown, NY 10940-4906
Phone (845) 390-1533

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240816000756 NY Practitioner - Clinical Social Worker 0648718049 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Access: Supports for Living Inc Current Accepting new patients
Access: Supports for Living Inc. CurrentSince May 9, 2024 Accepting new patients
Housing Works Health Services III, Inc. Past Accepting new patients
Bailey House Inc PastSince Dec 9, 2019 Accepting new patients

Locations

16 Union St
Middletown, NY 10940
Phone (845) 343-5556

21 Grand St
Newburgh, NY 12550
Phone (845) 562-7244

67 Windsor Hwy
Newburgh, NY 12553
Phone (845) 562-6850

15 Fortune Rd W
Scotchtown, NY 10941
Phone (845) 673-7123

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1544486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720137600000",
    "number": "1164993531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 UNION ST",
            "city": "MIDDLETOWN",
            "state": "NY",
            "postal_code": "109404906",
            "telephone_number": "845-390-1533",
            "fax_number": "845-262-4694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 UNION ST",
            "city": "MIDDLETOWN",
            "state": "NY",
            "postal_code": "109404906",
            "telephone_number": "845-343-5556",
            "fax_number": "845-343-3341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GENAU",
        "first_name": "GIANNCI",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-11",
        "last_updated": "2024-07-05",
        "certification_date": "2024-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "096833",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Middletown, NY

Sources for this page

Verify at the official NPI Registry.