| Michael Francis Genovese, MSW, LCSW | |
|
4 Research Dr, Shelton, CT 06484-6280 | |
| (203) 828-0704 | |
| Not Available |
| Full Name | Michael Francis Genovese |
|---|---|
| Gender | Male |
| Speciality | Social Worker - Clinical |
| Location | 4 Research Dr, Shelton, Connecticut |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619563020 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 4109 (Connecticut) | Primary |
| Entity Name | Serenita Wellness Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568007474 PECOS PAC ID: 4789015488 Enrollment ID: O20200513002089 |
| Mailing Address | Practice Location Address |
|---|---|
| Michael Francis Genovese, MSW, LCSW 16 Roger Ave, North Haven, CT 06473-1927 Ph: (203) 589-3828 | Michael Francis Genovese, MSW, LCSW 4 Research Dr, Shelton, CT 06484-6280 Ph: (203) 828-0704 |
Kelly Dougherty, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2 Trap Falls Rd Ste 120, Shelton, CT 06484 Phone: 203-816-6424 Fax: 203-513-8474 | |
Sandra Dickens, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1 Enterprise Dr Ste 415, Shelton, CT 06484 Phone: 203-255-5078 | |
Christine Zangrillo, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1000 Bridgeport Ave Ste 202, Shelton, CT 06484 Phone: 203-712-9998 Fax: 203-242-1165 | |
Mr. Kenneth Michael Lacilla, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 476 Howe Ave, Suite 4, Shelton, CT 06484 Phone: 203-924-9426 | |
Cori Testani, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2 Trap Falls Rd, Shelton, CT 06484 Phone: 203-816-6424 | |
Tracy Clough, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 515 Bridgeport Ave, Shelton, CT 06484 Phone: 973-809-4722 | |
Jennifer Dawn Guarino, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 476 Howe Ave Ste 4, Shelton, CT 06484 Phone: 203-924-9426 |