Provider Demographics
NPI:1194031781
Name:GENLOT, ALBERT GEORGE (LCSW)
Entity Type:Individual
Prefix:MR
First Name:ALBERT
Middle Name:GEORGE
Last Name:GENLOT
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:235 LINCOLN PL
Mailing Address - Street 2:6G
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11217-3747
Mailing Address - Country:US
Mailing Address - Phone:718-857-9081
Mailing Address - Fax:
Practice Address - Street 1:160 BROADWAY
Practice Address - Street 2:601
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10038-4201
Practice Address - Country:US
Practice Address - Phone:917-757-0534
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-20
Last Update Date:2010-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYPR003133-11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical