Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Genevieve Heidrich, LCSW

Individual provider Clinical Social Worker · NPI 1790839272

Genevieve Heidrich, LCSW is a Clinical Social Worker in Port Jefferson, New York. Graduated from State University of New York at Stony Brook, School of Medicine in 1989, 37 years ago. Accepts Medicare assignment. Licensed in New York.

Years since qualifying
37
Trained at
State University of New York at Stony Brook, School of Medicine
Licensed in
NY
In the registry since
2007
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

646 Main St
Port Jefferson, NY 11777
Phone: (631) 928-4148
Fax: (631) 331-8044
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence R0402081 (NY)

Record details

NPI number1790839272
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedJanuary 22, 2007
Last updated in NPPESJuly 8, 2007

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolSTATE UNIVERSITY OF NEW YORK AT STONY BROOK, SCHOOL OF MEDICINE
Graduated 1989 (37 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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