Individual provider Active NPI

Geneciobel Rodriguez, LMSW

  • Clinical Social Worker
  • New York, NY
National Provider Identifier
1952731028
Registry record updated Nov 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
086300 Issued in NY
Practice address
15 W 65TH St
New York, NY 10023-6601
Phone
(212) 769-6349
NPI assigned
Nov 26, 2013
Last updated
Nov 26, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 086300 NY Primary

Addresses

Primary practice location

15 W 65TH St
New York, NY 10023-6601

Mailing address

15 W 65TH St
New York, NY 10023-6601
Phone (212) 769-6349

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140812001131 NY Practitioner - Clinical Social Worker 8921225103 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
JGB Mental Health and Mental Retardation Services IncGroup PAC ID 1850349838, 15 clinicians

Practice addresses (Care Compare)

250 W 64TH St
FL 4
New York, NY 10023-6402
Phone (212) 769-7800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
JGB Mental Health & Mental Retardation Services Inc CurrentSince Jul 10, 2014 Accepting new patients

Locations

15 W 65th St
New York, NY 10023
Phone (212) 769-6200

250 W 64th St
Fl 4
New York, NY 10023

250 W 64th St
New York, NY 10023
Phone (212) 769-6247

Interoperability endpoints

  • Direct secure messaging: rodriguezg@lighthouseguild.direct.welligent.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1385424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1385424000000",
    "number": "1952731028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 W 65TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100236601",
            "telephone_number": "212-769-6349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 W 65TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100236601",
            "telephone_number": "212-769-6349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "GENECIOBEL",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-26",
        "last_updated": "2013-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "086300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.