Active NPI
Geneva Allen McKelton, MSW
- Social Worker
- Detroit, MI
National Provider Identifier
1265690267
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 6801072558
- Practice address
- 15801 W McNichols Rd
Detroit, MI 48235-3543 - Phone
- (313) 272-8450
- NPI assigned
- May 27, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 6801072558 | MI | Primary |
Addresses
Primary practice location
15801 W McNichols Rd
Detroit, MI 48235-3543
Mailing address
15801 W McNichols Rd
Detroit, MI 48235-3543
Phone (313) 272-8450
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5255236 | Medicaid | MI | |
| 651245437 | Other | MI | COMMERCIAL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6801072558 | MI | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Summit Womens Center | Past | Accepting new patients | |
| Summit of Detroit, P.C. | Social Worker | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Case Management Agency
- Detroit, MI
- NPI 1730456922
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1211846400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1211932800000",
"number": "1265690267",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15801 W MCNICHOLS RD",
"city": "DETROIT",
"state": "MI",
"postal_code": "482353543",
"telephone_number": "313-272-8450"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15801 W MCNICHOLS RD",
"city": "DETROIT",
"state": "MI",
"postal_code": "482353543",
"telephone_number": "313-272-8450"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCKELTON",
"first_name": "GENEVA",
"middle_name": "ALLEN",
"credential": "MSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-05-27",
"last_updated": "2008-05-28",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MI",
"license": "6801072558",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5255236",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COMMERCIAL",
"identifier": "651245437",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Detroit, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.