Michael Francis Genovese, MSW, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

4109 Issued in CT

Practice address

4 Research Dr
Shelton, CT 06484-6280

Phone

(203) 828-0704

NPI assigned

Dec 19, 2020

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in CT

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

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Serenita Wellness LLC

  • Clinical Social Worker
  • Seymour, CT
  • NPI 1568007474
  Medicare reassignment NPD
• Journey to Wellness Counseling, LLC

  • Clinical Social Worker
  • Hamden, CT
  • NPI 1457968091
  NPD (past)

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

{
    "created_epoch": "1608336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608336000000",
    "number": "1619563020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 ROGER AVE",
            "city": "NORTH HAVEN",
            "state": "CT",
            "postal_code": "064731927",
            "telephone_number": "203-589-3828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 RESEARCH DR",
            "city": "SHELTON",
            "state": "CT",
            "postal_code": "064846280",
            "telephone_number": "203-828-0704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GENOVESE",
        "first_name": "MICHAEL",
        "middle_name": "FRANCIS",
        "credential": "MSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-12-19",
        "last_updated": "2020-12-19",
        "certification_date": "2020-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "4109",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.serenitawellness.com",
            "affiliation": "N",
            "address_1": "4 Research Dr",
            "city": "Shelton",
            "state": "CT",
            "country_code": "US",
            "postal_code": "064846280",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Drisana Cecilia Garlington
• John Marion Garrison, M.D.
• Tanina Alexis Gatison
• Jennifer Gatto
• John Gell, D.M.D.
• Melanie Georgalas, M.D.
• Patsy Gerckens, P.A.
• Steven L Gersen, PHD
• Jami Joy Gibson, LCSW
• Tracy Gigliotti, LCSW

• Clinical Social Worker in Shelton, CT
• Providers in Shelton, CT by specialty
• Clinical Social Worker in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.