Organization Active NPI

Genevieve Shineman LCSW LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Westfield, NJ
National Provider Identifier
1932581816
Registry record updated Jun 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
GENEVIEVE SHINEMAN LCSW LLC
Practice address
114 S Euclid Ave
Westfield, NJ 07090-2130
Phone
(908) 451-2624
NPI assigned
Jun 26, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2015

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

Authorized official

Name
Ms. Genevieve Shineman, LCSWNPI 1639326093
Title
Owner
Phone
(908) 451-2624

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)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

114 S Euclid Ave
Westfield, NJ 07090-2130

Mailing address

114 S Euclid Ave
Westfield, NJ 07090-2130
Phone (908) 451-2624

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150723009461 NJ Part B Supplier - Clinic/Group Practice 6406169184 Receives reassigned benefits from 1 practitioner
Practice locations: Westfield, NJ

National Provider Directory

National Provider Directory

Locations

220 Saint Paul St
#2
Westfield, NJ 07090
Phone (908) 451-2624

Practitioners & 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": "1435276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435276800000",
    "number": "1932581816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 S EUCLID AVE",
            "city": "WESTFIELD",
            "state": "NJ",
            "postal_code": "070902130",
            "telephone_number": "908-451-2624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 S EUCLID AVE",
            "city": "WESTFIELD",
            "state": "NJ",
            "postal_code": "070902130",
            "telephone_number": "908-451-2624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENEVIEVE SHINEMAN LCSW LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-26",
        "last_updated": "2015-06-26",
        "status": "A",
        "authorized_official_last_name": "SHINEMAN",
        "authorized_official_first_name": "GENEVIEVE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "908-451-2624",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westfield, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.