Provider Demographics
NPI:1942522354
Name:GENENDE, MADELINE JANE (LCSW-R)
Entity Type:Individual
Prefix:MS
First Name:MADELINE
Middle Name:JANE
Last Name:GENENDE
Suffix:
Gender:F
Credentials:LCSW-R
Other - Prefix:
Other - First Name:JANE
Other - Middle Name:
Other - Last Name:GENENDE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:15 JEFFREY LANE
Mailing Address - Street 2:
Mailing Address - City:CHAPPAQUA, NY
Mailing Address - State:NY
Mailing Address - Zip Code:10514
Mailing Address - Country:US
Mailing Address - Phone:914-238-1786
Mailing Address - Fax:
Practice Address - Street 1:41-51 E 11TH ST
Practice Address - Street 2:
Practice Address - City:NYC
Practice Address - State:NY
Practice Address - Zip Code:10003
Practice Address - Country:US
Practice Address - Phone:212-477-2600
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-02-26
Last Update Date:2010-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPR 022570-11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical