Doctor Name: | MR. GEOFFREY SCOTT GENSER |
NPI Number: | 1033214705 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | L.C.S.W. |
License Number: | 005336 |
Business Practice Address: | 15 N Main St 3rd Floor West Hartford, CT - 061071974 |
Business Phone Number: | 8605700877 |
Business Fax Number: | 8602644737 |
Mailing Address: | 15 N Main St, 3rd Floor WEST HARTFORD |
State: | CT |
Postal Code: | 061071974 |
Phone Number: | 8605700877 |
Fax Number: | 8602644737 |
NPI Enumeration Date: | 09/14/2006 |
NPI Last Update Date: | 07/01/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 005336 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CT |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |