Individual provider Active NPI

Genna Somers

  • Clinical Social Worker
  • New York, NY
National Provider Identifier
1720497522
Registry record updated Jan 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
086280 Issued in NY
Practice address
114 5TH Ave FL 2
New York, NY 10011-5611
Phone
(631) 629-2280
NPI assigned
Aug 5, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 25, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 090324-1 NY
Clinical Social Worker 1041C0700X 086280 NY Primary

Addresses

Primary practice location

114 5TH Ave FL 2
New York, NY 10011-5611

Mailing address

19 Greenleaf Dr
Huntington, NY 11743-4816
Phone (631) 629-2280

Other practice location 1

1380 Roanoke Ave
Riverhead, NY 11901-2098
Phone (631) 369-4418 ext. 1118

Other practice location 2

19 Greenleaf Dr
Huntington, NY 11743-4816
Phone (631) 629-2280

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Clubhouse of Suffolk, Inc Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1407196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706140800000",
    "number": "1720497522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 GREENLEAF DR",
            "city": "HUNTINGTON",
            "state": "NY",
            "postal_code": "117434816",
            "telephone_number": "631-629-2280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 5TH AVE FL 2",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100115611",
            "telephone_number": "631-629-2280"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1380 Roanoke Ave",
            "address_purpose": "LOCATION",
            "city": "Riverhead",
            "state": "NY",
            "postal_code": "119012098",
            "country_code": "US",
            "telephone_number": "631-369-4418 x1118",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "19 Greenleaf Dr",
            "address_purpose": "LOCATION",
            "city": "Huntington",
            "state": "NY",
            "postal_code": "117434816",
            "country_code": "US",
            "telephone_number": "631-629-2280",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SOMERS",
        "first_name": "GENNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-08-05",
        "last_updated": "2024-01-25",
        "certification_date": "2024-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "090324-1",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "086280",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.