Organization
GEOFF GENSER, LCSW, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GEOFFREY SCOTT GENSER L.C.S.W. (OUTPATIENT THERAPIST)
(860) 570-0877
Entity
Organization
Contact information
Practice address
15 N MAIN ST, 3RD FLOOR, WEST HARTFORD, CT 06107-1974
(860) 570-0877
(860) 264-4737
Mailing address
15 N MAIN ST, 3RD FLOOR, WEST HARTFORD, CT 06107-1974
(860) 570-0877
(860) 264-4737
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
005336
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004243052
—
CT
01
—
140005336CT03
ANTHEM BCBS
CT
01
—
244683591
UNITED BEHAVIORAL HEALTH
CT
01
—
349753
AETNA
CT
01
—
716456000
MAGELLAN
CT
01
—
P3514264
OXFORD HEALTH PLAN
CT
Enumeration date
09/15/2006
Last updated
07/02/2008
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