Ms Genevi J Age, LCSWA, LCAS-A is a
Social Worker - Clinical based in Raleigh, North Carolina. Ms Genevi J Age is licensed to practice in North Carolina (license number P021939) and her current practice location is
4805 Green Rd Ste 103, Raleigh, North Carolina. She can be reached at her office (for appointments etc.) via phone at
(919) 872-6220.
NPI number for Ms Genevi J Age is 1053822130 and her current mailing address is 1060 Paddington Ave, Northeast, Suite 103, Leland, North Carolina. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1053822130.
Healthcare Provider's Profile
| Full Name | Ms Genevi J Age |
|---|
| Gender | Female |
|---|
| Speciality | Social Worker - Clinical |
|---|
| Location | 4805 Green Rd Ste 103, Raleigh, North Carolina |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1053822130
- Provider Enumeration Date: 10/17/2017
- Last Update Date: 05/07/2026
Medical Identifiers
Medical identifiers for Ms Genevi J Age such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1053822130 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | LCAS-23005 (North Carolina) | Secondary |
| 1041C0700X | Social Worker - Clinical | P021939 (North Carolina) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ms Genevi J Age is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Ms Genevi J Age, LCSWA, LCAS-A 1060 Paddington Ave, Northeast, Suite 103, Leland, NC 28451 Ph: (919) 872-6220 | Ms Genevi J Age, LCSWA, LCAS-A 4805 Green Rd Ste 103, Raleigh, NC 27616-2848 Ph: (919) 872-6220 |
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