Individual provider Active NPI

Genevieve Clineman, LCSW

  • Clinical Social Worker
  • Port Jervis, NY
National Provider Identifier
1366939662
Registry record updated Jun 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
100400 Issued in NY
Practice address
146 Pike St
Port Jervis, NY 12771-1808
Phone
(845) 858-1459
NPI assigned
Apr 23, 2018
Last updated
Jun 20, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 20, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X 104100000X NY
Clinical Social Worker 1041C0700X 100400 NY Primary

Addresses

Primary practice location

146 Pike St
Port Jervis, NY 12771-1808

Mailing address

8 Black Rock TRL
Port Jervis, NY 12771-3828
Phone (845) 699-4411

Other practice location 1

141 Broadway
Newburgh, NY 12550-6204
Phone (845) 568-5260

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
I20250903004115 NY Practitioner - Clinical Social Worker 6800398488 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Fordham University School of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
County of OrangeGroup PAC ID 0648169185, 28 clinicians

Practice addresses (Care Compare)

146 Pike St
Port Jervis, NY 12771-1808
Phone (845) 856-1458

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
100400NYMDMental Health Counselor
104100000XNYMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
County of Orange CurrentSince Jul 25, 2025 Accepting new patients
County of Orange Mental Health (Including Community Mental Health Center) CurrentSince Jul 25, 2025 Accepting new patients
County of Orange Mental Health (Including Community Mental Health Center) Current Accepting new patients
Genevieve Clineman LCSW Clinical PastSince Jun 23, 2025 Accepting new patients

Locations

30 Harriman Dr
Goshen, NY 10924
Phone (845) 291-2600

141 Broadway
Newburgh, NY 12550
Phone (845) 568-5260

146 Pike St
Port Jervis, NY 12771
Phone (845) 856-1458

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": "1524441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750377600000",
    "number": "1366939662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 BLACK ROCK TRL",
            "city": "PORT JERVIS",
            "state": "NY",
            "postal_code": "127713828",
            "telephone_number": "845-699-4411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "146 PIKE ST",
            "city": "PORT JERVIS",
            "state": "NY",
            "postal_code": "127711808",
            "telephone_number": "845-858-1459"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "141 Broadway",
            "address_purpose": "LOCATION",
            "city": "Newburgh",
            "state": "NY",
            "postal_code": "125506204",
            "country_code": "US",
            "telephone_number": "845-568-5260",
            "fax_number": "845-568-5213",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CLINEMAN",
        "first_name": "GENEVIEVE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-04-23",
        "last_updated": "2025-06-20",
        "certification_date": "2025-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NY",
            "license": "104100000X",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "100400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Jervis, NY

Sources for this page

Verify at the official NPI Registry.