Provider Demographics
NPI:1770779811
Name:SENIOR GENERATIONS, LLC
Entity type:Organization
Organization Name:SENIOR GENERATIONS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:GERIATRIC SOCIAL WORKER
Authorized Official - Prefix:MRS
Authorized Official - First Name:JAN
Authorized Official - Middle Name:B
Authorized Official - Last Name:POSIN
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW, MSW, MS
Authorized Official - Phone:480-628-9473
Mailing Address - Street 1:9853 E MIRASOL CIR
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85260-2192
Mailing Address - Country:US
Mailing Address - Phone:480-628-9473
Mailing Address - Fax:480-473-2014
Practice Address - Street 1:9853 E MIRASOL CIR
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85260-2192
Practice Address - Country:US
Practice Address - Phone:480-628-9473
Practice Address - Fax:480-473-2014
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-21
Last Update Date:2007-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLCSW-102471041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty