Active NPI
Geneva Ann Bajorek, MSW LCSW
- Social Worker
- Manchester, CT
National Provider Identifier
1265699813
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 003146
- Practice address
- 32 Washington St
Manchester, CT 06042-3517 - Phone
- (860) 645-1940
- NPI assigned
- May 21, 2008
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 003146 | CT | Primary |
Addresses
Primary practice location
32 Washington St
Manchester, CT 06042-3517
Mailing address
32 Washington St
Manchester, CT 06042-3517
Phone (860) 645-1940
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 140003146CT01 | Other | ANTHEM BLUE CROSS & BLUE SHIELD |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 003146 | CT | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1211328000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1211328000000",
"number": "1265699813",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "32 WASHINGTON ST",
"city": "MANCHESTER",
"state": "CT",
"postal_code": "060423517",
"telephone_number": "860-645-1940"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "32 WASHINGTON ST",
"city": "MANCHESTER",
"state": "CT",
"postal_code": "060423517",
"telephone_number": "860-645-1940"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAJOREK",
"first_name": "GENEVA",
"middle_name": "ANN",
"name_prefix": "Ms.",
"credential": "MSW LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-05-21",
"last_updated": "2008-05-21",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "CT",
"license": "003146",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BLUE CROSS & BLUE SHIELD",
"identifier": "140003146CT01",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Manchester, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.