Active NPI
Patricia S. Genao, LCSW
- Clinical Social Worker
- Bradenton, FL
National Provider Identifier
1265614846
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- SW8854
- Practice address
- 379 6TH Ave W
Bradenton, FL 34205-8820 - Phone
- (941) 782-4206
- NPI assigned
- Dec 5, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | SW8854 | FL | Primary |
Addresses
Primary practice location
379 6TH Ave W
Bradenton, FL 34205-8820
Mailing address
379 6TH Ave W
Bradenton, FL 34205-8820
Phone (941) 782-4206
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1196812800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1196812800000",
"number": "1265614846",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "379 6TH AVE W",
"city": "BRADENTON",
"state": "FL",
"postal_code": "342058820",
"telephone_number": "941-782-4206"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "379 6TH AVE W",
"city": "BRADENTON",
"state": "FL",
"postal_code": "342058820",
"telephone_number": "941-782-4206"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GENAO",
"first_name": "PATRICIA",
"middle_name": "S.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-12-05",
"last_updated": "2007-12-05",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "FL",
"license": "SW8854",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bradenton, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.