Genin, Renee L
Genin, Renee L is an individual health care provider with primary practice located at 2515 N 124Th St Suite 101, Brookfield WI 53005-4675. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Genin, Renee L can be contacted via phone (262) 641-4347.Contact Information
Primary practice address
2515 N 124Th St Suite 101
Brookfield WI 53005-4675
Phone: (262) 641-4347
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 7050-123 | Wisconsin |
Profile Details
| NPI number | 1013185537 |
|---|---|
| LBN Legal business name | Genin, Renee L |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 19th, 2008 |
| Last updated | Mar 11th, 2008 - about 16 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1013185537 | NPPES |
| Wisconsin | MEDICAID | 40954700 | |
| Wisconsin | Other | 11828858 |
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