Active NPI
Genesis Therapy Group LLC
- Clinical Social Worker
- Riverhead, NY
National Provider Identifier
1902602337
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- GENESIS THERAPY GROUP LLC
- Practice address
- 37 Hubbard Ave Unit 28
Riverhead, NY 11901-2336 - Phone
- (516) 585-1711
- NPI assigned
- Feb 25, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sheila Delvalle
- Title
- Owner
- Phone
- (516) 585-1711
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
37 Hubbard Ave Unit 28
Riverhead, NY 11901-2336
Mailing address
329 S Oyster Bay Rd # 636
Plainview, NY 11803-3301
Phone (516) 585-1711
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1740441600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1740441600000",
"number": "1902602337",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "329 S OYSTER BAY RD # 636",
"city": "PLAINVIEW",
"state": "NY",
"postal_code": "118033301",
"telephone_number": "516-585-1711"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "37 HUBBARD AVE UNIT 28",
"city": "RIVERHEAD",
"state": "NY",
"postal_code": "119012336",
"telephone_number": "516-585-1711"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GENESIS THERAPY GROUP LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-02-25",
"last_updated": "2025-02-25",
"certification_date": "2025-02-19",
"status": "A",
"authorized_official_last_name": "DELVALLE",
"authorized_official_first_name": "SHEILA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "516-585-1711"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Riverhead, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.