Organization Active NPI

Elonzo Duncan Incorporated

  • Community/Behavioral Health Agency
  • Flint, MI
National Provider Identifier
1366771461
Registry record updated Dec 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
6801015593 Issued in MI
Legal business name
ELONZO DUNCAN INCORPORATED
Practice address
G3500 Flushing Rd
Suite 112E
Flint, MI 48504-4235
Phone
(810) 239-8617
Fax
(810) 230-8459
NPI assigned
Dec 18, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2024

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

Authorized official

Name
Mr. Elonzo Duncan MSW, MSW
Title
Social Worker
Phone
(810) 230-8617

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 6801015593 MI Primary

Addresses

Primary practice location

G3500 Flushing Rd
Suite 112E
Flint, MI 48504-4235

Mailing address

3136 Stevenson St
Flint, MI 48504-3247
Phone (810) 239-8617

National Provider Directory

National Provider Directory

Locations

G3500 Flushing Rd
Ste 112E
Flint, MI 48504
Phone (313) 402-4570

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1261094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734480000000",
    "number": "1366771461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3136 STEVENSON ST",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485043247",
            "telephone_number": "810-239-8617",
            "fax_number": "810-230-8459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "G3500 FLUSHING RD",
            "address_2": "SUITE 112E",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485044235",
            "telephone_number": "810-239-8617",
            "fax_number": "810-230-8459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELONZO DUNCAN INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-18",
        "last_updated": "2024-12-18",
        "certification_date": "2024-12-18",
        "status": "A",
        "authorized_official_last_name": "DUNCAN  MSW",
        "authorized_official_first_name": "ELONZO",
        "authorized_official_title_or_position": "SOCIAL WORKER",
        "authorized_official_telephone_number": "810-230-8617",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MI",
            "license": "6801015593",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flint, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.