Individual provider Active NPI

Geraldine Reyes, LMSW

  • Clinical Social Worker
  • Troy, MI
National Provider Identifier
1316030422
Registry record updated Oct 31, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801086146 Issued in MI
Practice address
888 W Big Beaver Rd Ste 1450
Troy, MI 48084-4762
Phone
(248) 244-8644
Fax
(248) 244-1330
NPI assigned
Oct 2, 2006
Last updated
Oct 31, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 31, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 6801086146 MI Primary

Addresses

Primary practice location

888 W Big Beaver Rd Ste 1450
Troy, MI 48084-4762

Mailing address

1000 W University Dr
Ste 308
Rochester, MI 48307
Phone (248) 923-2099

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091009000538 MI Practitioner - Clinical Social Worker 6901942689 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Insight Counseling Services LLCGroup PAC ID 7810120409, 4 clinicians

Practice addresses (Care Compare)

3121 University Dr
Suite 140
Auburn Hills, MI 48326-4606
Phone (248) 923-2099

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801086146MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Insight Counseling Services LLC Clinical CurrentSince Aug 29, 2015 Accepting new patients

Locations

3121 University Dr
Ste 140
Auburn Hills, MI 48326
Phone (248) 475-1295

1000 W University Dr
Ste 308
Rochester, MI 48307
Phone (248) 496-1612

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477872000000",
    "number": "1316030422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 W UNIVERSITY DR",
            "address_2": "STE 308",
            "city": "ROCHESTER",
            "state": "MI",
            "postal_code": "48307",
            "telephone_number": "248-923-2099",
            "fax_number": "248-923-2096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "888 W BIG BEAVER RD STE 1450",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480844762",
            "telephone_number": "248-244-8644",
            "fax_number": "248-244-1330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYES",
        "first_name": "GERALDINE",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-02",
        "last_updated": "2016-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801086146",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Troy, MI

Sources for this page

Verify at the official NPI Registry.