Geralyn Ann Hall, MSW LCSW LMSW
Individual provider Active NPI Clinical Social Worker · Menominee, MI
NPI 1306976840 · NPPES record last updated Mar 17, 2018
Key facts
- NPI
- 1306976840
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 4315123 (WI)
- Practice address
- 1110 10TH Ave Ste L4
Menominee, MI 49858-3058 - Phone
- (906) 290-2444
- NPI assigned
- Mar 6, 2007
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6801099008 | MI | MD | Clinical Social Worker |
| 4315123 | WI | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Z Boost Performance | Clinical | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 6801099008 | MI | |
| Clinical Social Worker | 1041C0700X | 4315123 | WI | Yes |
Addresses
Primary practice location
1110 10TH Ave Ste L4
Menominee, MI 49858-3058
Mailing address
1110 10TH Ave Ste L4
Menominee, MI 49858-3058
Phone (906) 290-2444
Other practice location 1
2500 Hall Ave
Marinette County Health and Human Services Ste A
Marinette, WI 54143
Phone (715) 732-7700
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 87071030 | Other | WI | RN LICENSE |
| 39631600 | Medicaid | WI |
Other names
- Geralyn Ann Birschbach
Other providers in Menominee, MI
- Steve T Genisot
- Michael Jay Gibson
- Deborah Goltz
- Great Lakes Recovery Centers
- Mary Gunderman
- David Alan Hammer
- Diana J Hardy
- Harold P Crissinger MD & Paul a Haupt DO PC
- Jeanne M Harper
- Sharon Hass
All providers in Menominee, MI · Clinical Social Worker in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 17, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.