Individual
GENESIS ENCARNACION
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
18-20 LACKAWANNA PLZ STE 200, MONTCLAIR, NJ 07042-3642
(862) 801-0974
(973) 860-6164
Mailing address
18-20 LACKAWANNA PLZ STE 200, MONTCLAIR, NJ 07042-3642
(862) 801-0974
(973) 860-6164
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SL07391300
NJ
Other
Enumeration date
12/11/2025
Last updated
12/11/2025
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