Look up the most recent NPI and PECOS records

Myra Genn

Social Worker

Behavioral Health & Social Service Providers

71 Grand Ave, Englewood, NJ 07631-3522

(201) 871-9522 (201) 871-3818

PECOS Enrollment

Based on the most recent information from CMS, provider Myra Genn does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 11:47 AM.

Profile Details

Provider ID
1871616052
Provider Type
Individual
Full Name
Genn, Myra
Title
Mrs.
Credential
LCSW

Gender
Female
Sole Proprietor
No
Enumeration Date
4/10/2007
Last Updated
7/8/2007

Contact Information

Practice Location

71 Grand Ave, Englewood, NJ 07631-3522

(201) 871-9522

Unlisted Fax

Mailing Location

58 Burlington Rd, Tenafly, NJ 07670-2502

(201) 871-3818

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 1041C0700X Primary	Description Social Worker Behavioral Health & Social Service Providers	License 44SC00164800 New Jersey
Code 1041C0700X	Description Social Worker Behavioral Health & Social Service Providers	License R0093511 New York

Myra Genn

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Pagnotta, Frances

Grigorian, Nyiri

White, Barbara

Core Counseling Of North Jersey, Llc

Rosenfelt, Merle Lynne

Merle Rosenfelt, Lcsw,Psya, Pc

Kliman, Lilly

Deren, Nancy Eileen

Owusu, Anna

Shy, Toni