Annette Genovese, LCSW
Individual provider Active NPI Clinical Social Worker · Mattawan, MI
NPI 1801844907 · NPPES record last updated Dec 8, 2023
Key facts
- NPI
- 1801844907
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 6901085491 (MI)
- Practice address
- 40885 Quail St
Mattawan, MI 49071-8350 - Phone
- (201) 615-1540
- NPI assigned
- May 4, 2006
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6901085491 | MI | MD | Clinical Social Worker |
| TNSW7526 | TN | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Annette Genovese LCSW | Clinical | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 44SC05225600 | NJ | |
| Clinical Social Worker | 1041C0700X | 6901085491 | MI | Yes |
| Clinical Social Worker | 1041C0700X | TNSW7526 | TN |
Addresses
Primary practice location
40885 Quail St
Mattawan, MI 49071-8350
Mailing address
40885 Quail St
Mattawan, MI 49071-8350
Phone (201) 615-1540
Other names
- Annette Genovese
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All providers in Mattawan, MI · Clinical Social Worker in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 8, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.