Individual provider Active NPI

Randall E Genow II, MSW, LMSW, CAADC

  • Clinical Social Worker
  • Saginaw, MI
National Provider Identifier
1356773634
Registry record updated Dec 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
L283307 Issued in MI
Practice address
5360 Hampton PL Ste 200
Saginaw, MI 48604-9451
Phone
(989) 321-4650
Fax
(989) 321-4850
NPI assigned
Aug 8, 2013
Last updated
Dec 21, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X L283307 MI
Mental Health Counselor 101YM0800X L283307 MI
Clinical Social Worker 1041C0700X L283307 MI Primary

Addresses

Primary practice location

5360 Hampton PL Ste 200
Saginaw, MI 48604-9451

Mailing address

5360 Hampton PL Ste 200
Saginaw, MI 48604-9451
Phone (989) 321-4650

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

LicenseStateTypeSpecialty
L283307MIMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1375920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545350400000",
    "number": "1356773634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5360 HAMPTON PL STE 200",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486049451",
            "telephone_number": "989-321-4650",
            "fax_number": "989-321-4850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5360 HAMPTON PL STE 200",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486049451",
            "telephone_number": "989-321-4650",
            "fax_number": "989-321-4850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GENOW",
        "first_name": "RANDALL",
        "middle_name": "E",
        "name_prefix": "Mr.",
        "name_suffix": "II",
        "credential": "MSW, LMSW, CAADC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-08-08",
        "last_updated": "2018-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MI",
            "license": "L283307",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "L283307",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "L283307",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saginaw, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2018; 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.