Genesis A Hall, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149.015658 Issued in IL

Practice address

707 N East St
Suite 3
Bloomington, IL 61701-3059

Phone

(773) 587-6062

NPI assigned

Dec 16, 2014

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1418688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444003200000",
    "number": "1831597392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "324 REEVESTON DR",
            "city": "BLOOMINGTON",
            "state": "IL",
            "postal_code": "617055001",
            "telephone_number": "773-587-6062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "707 N EAST ST",
            "address_2": "SUITE 3",
            "city": "BLOOMINGTON",
            "state": "IL",
            "postal_code": "617013059",
            "telephone_number": "773-587-6062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALL",
        "first_name": "GENESIS",
        "middle_name": "A",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-12-16",
        "last_updated": "2015-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.015658",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carolyn Hagerty, FNP-BC
• Stefani J Hagglund, PA-C
• Deanna M Hahn, D.O.
• Jennifer Marie Hair, PTA
• Joyce Haley
• Thomas Douglas Hall, D.M.D.
• Caitlin Hallatt, NP
• Gregory I Halperin, M.D.
• Ira Halperin, D.O.
• Jordan Elizabeth Halpin

• Clinical Social Worker in Bloomington, IL
• Providers in Bloomington, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2015; 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.