Deborah Genninger, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

074171 Issued in NY

Practice address

928 Broadway
Suite # 807
New York, NY 10010-6008

Phone

(917) 861-4734

NPI assigned

Mar 7, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Service Program for Older People

  • Community/Behavioral Health Agency
  • New York, NY
  • NPI 1831644657
  NPD (past)
• Service Program for Older People, Inc

  • Geriatric Psychiatry Physician
  • New York, NY
  • NPI 1740211143
  NPD (past)

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1309132800000",
    "number": "1720118706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 PARK AVE S",
            "address_2": "SUITE # 305",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100103601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "928 BROADWAY",
            "address_2": "SUITE # 807",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100106008",
            "telephone_number": "917-861-4734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GENNINGER",
        "first_name": "DEBORAH",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-07",
        "last_updated": "2011-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "074171",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00074171",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mark Genkin
• Veronica Genkin, NP
• Mary E. Genkins, DSW, CSW, PC
• Alyssa Genna
• Meredith Celeste Gennaro, M.S.
• Bari Genoa, PA
• Margaux C Genoff, PHD
• Josiane Genois, RN
• Kamen Iordanov Genov, DDS
• Daniel Genoves-Sylvan

• Clinical Social Worker in New York, NY
• Providers in New York, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2011; 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.