Gennaro Counseling Pllc | |
8269 E 23rd Ave Ste 100b Denver CO 80238-3557 | |
(720) 316-8110 | |
Not Available |
Full Name | Gennaro Counseling Pllc |
---|---|
Speciality | Social Worker |
Location | 8269 E 23rd Ave Ste 100b, Denver, Colorado |
Authorized Official Name and Position | Jennifer Gennaro (OWNER) |
Authorized Official Contact | 7203168110 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Gennaro Counseling Pllc 8269 E 23rd Ave Ste 100b Denver CO 80238-3557 Ph: (720) 316-8110 | Gennaro Counseling Pllc 8269 E 23rd Ave Ste 100b Denver CO 80238-3557 Ph: (720) 316-8110 |
NPI Number | 1396290375 |
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Provider Enumeration Date | 08/19/2016 |
Last Update Date | 08/30/2021 |
Certification Date | 08/30/2021 |
Medicare PECOS PAC ID | 9638567134 |
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Medicare Enrollment ID | O20211103001224 |
Identifier | Type | State | Issuer |
---|---|---|---|
1396290375 | NPI | - | NPPES |
69610550 | Medicaid | CO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 09924304 (Colorado) | Primary |
Provider Name | Jennifer Gennaro |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1255771960 PECOS PAC ID: 0042594780 Enrollment ID: I20170224001624 |
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