Genoa Services LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

99025162A Issued in IN

Legal business name

GENOA SERVICES LLC

Practice address

222 Indianapolis Blvd Ste 207
Schererville, IN 46375-1275

Phone

(219) 808-0793

Fax

(219) 756-0795

NPI assigned

Apr 7, 2007

Last updated

Feb 4, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Miss Emily D Edwards, MSWNPI 1427238104

Title

Owner, Single Member

Phone

(219) 808-0793

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Emily D Edwards, MSW

  • Clinical Social Worker
  • Schererville, IN
  • NPI 1427238104
  Authorized official Same address or phone

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

{
    "created_epoch": "1175904000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1391472000000",
    "number": "1255454120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 INDIANAPOLIS BLVD STE 207",
            "city": "SCHERERVILLE",
            "state": "IN",
            "postal_code": "463751275",
            "telephone_number": "219-808-0793",
            "fax_number": "219-756-0795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 INDIANAPOLIS BLVD STE 207",
            "city": "SCHERERVILLE",
            "state": "IN",
            "postal_code": "463751275",
            "telephone_number": "219-808-0793",
            "fax_number": "219-756-0795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENOA SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-07",
        "last_updated": "2014-02-04",
        "status": "A",
        "authorized_official_last_name": "EDWARDS",
        "authorized_official_first_name": "EMILY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER, SINGLE MEMBER",
        "authorized_official_telephone_number": "219-808-0793",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "99025162A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100475220C",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200240460A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gustavo Eduardo Galante, M.D.
• Christian Gallegos
• Rebecca Marguerite Garza, M.D.
• Joseph Robert Gasparovic, MD
• Indre Geneviciute, DDS
• Kathleen Maria Georgiou, RN
• Sylvia M Gerike, NP-C
• Elizabeth Geruska, PTA
• Gibault, Inc. (Campagna Academy)
• Jillian Renee Gidcumb, PT, DPT

• Clinical Social Worker in Schererville, IN
• Providers in Schererville, IN by specialty
• Clinical Social Worker in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2014; 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.