Healthcare Provider Details

I. General information

NPI: 1801384805
Provider Name (Legal Business Name): ROSEMARIE GENOVESE LPC, LCADC, CCS, NCC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/25/2018
Last Update Date: 05/12/2026
Certification Date: 05/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2540 HUCKLEBERRY RD
MANCHESTER NJ
08759-6225
US

IV. Provider business mailing address

2540 HUCKLEBERRY RD
MANCHESTER NJ
08759-6225
US

V. Phone/Fax

Practice location:
  • Phone: 732-995-7243
  • Fax: 732-866-1627
Mailing address:
  • Phone: 732-995-7243
  • Fax: 732-866-1627

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number37PC00599500
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: