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

MS. Genevi J Age, LCSWA, LCAS-A

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1053822130

MS. Genevi J Age, LCSWA, LCAS-A is an Addiction (Substance Use Disorder) Counselor in Raleigh, North Carolina. Licensed in North Carolina. Registered with an NPI since 2017.

Licensed in
NC
In the registry since
2017
Specialties on file
2

Practice location Address checks out

4805 Green Rd Ste 103
Raleigh, NC 27616-2848
Phone: (919) 872-6220
Fax: (919) 872-6223
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence P021939 (NC)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence LCAS-23005 (NC)

Record details

NPI number1053822130
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSWA , LCAS-A
Sole proprietorNo
NPI enumeratedOctober 17, 2017
Last updated in NPPESMay 7, 2026
Certification dateMay 7, 2026

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