Individual provider Active NPI

Genevieve Maltby, LCSW

  • Social Worker
  • Rockford, IL
National Provider Identifier
1649813452
Registry record updated May 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
149.021953 Issued in IL
Practice address
631 N Longwood St Ste 103
Rockford, IL 61107-4263
Phone
(815) 962-5585
NPI assigned
Oct 24, 2019
Last updated
May 30, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 30, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 149.021953 IL Primary
Social Worker 104100000X 150-102991 IL
Clinical Social Worker 1041C0700X NU

Addresses

Primary practice location

631 N Longwood St Ste 103
Rockford, IL 61107-4263

Mailing address

617 Camlin Ave
Rockford, IL 61103-4715
Phone (815) 871-2410

Other practice location 1

861 N Madison St Ste 5
Rockford, IL 61107-3058
Phone (815) 871-2410

Other practice location 2

5970 Churchview Dr
Rockford, IL 61107-2574
Phone (815) 971-2000

Other practice location 3

7702 N Alpine Rd
Loves Park, IL 61111-3107
Phone (815) 971-2000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20200610002206 IL Practitioner - Clinical Social Worker 0244651677 Reassigns benefits to 4 organizations
Practice locations: Rockford, IL

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Rockford Health PhysiciansGroup PAC ID 2567374036, 520 clinicians
Family Counseling Services of Northern IllinoisGroup PAC ID 0244305936, 2 clinicians

Practice addresses (Care Compare)

5970 Churchview Dr
Rockford, IL 61107-2574
Phone (815) 971-2000

631 N Longwood St
Suite 103
Rockford, IL 61107-4263
Phone (815) 962-5585

861 N Madison St
Suite 5
Rockford, IL 61107-3058
Phone (815) 871-2410

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
149.021953ILMDSocial Worker
150-102991ILMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Rockford Health Physicians CurrentSince Apr 14, 2025 Accepting new patients
Dr. Genevieve Maltby LLC Clinical CurrentSince Aug 15, 2022 Accepting new patients
Restore Counseling & Recovery, Inc. Clinical CurrentSince Apr 14, 2024 Accepting new patients

Locations

29624 Network Pl
Chicago, IL 60673
Phone (608) 741-7652

7399 Forest Hills Rd
Loves Park, IL 61111
Phone (815) 282-8824

7702 N Alpine Rd
Loves Park, IL 61111
Phone (815) 971-3397

2300 N Rockton Ave
Rockford, IL 61103
Phone (815) 971-5510

5970 Churchview Dr
Rockford, IL 61107
Phone (815) 971-8990

861 N Madison St
Ste 5
Rockford, IL 61107
Phone (815) 871-2410

6400 Industrial Loop
Greendale, WI 53129
Phone (414) 423-4100

Interoperability endpoints

  • Direct secure messaging: gmaltby121609@direct.mhemail.org

Organizations & group practices 4

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1571875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748563200000",
    "number": "1649813452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "617 CAMLIN AVE",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611034715",
            "telephone_number": "815-871-2410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "631 N LONGWOOD ST STE 103",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611074263",
            "telephone_number": "815-962-5585"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "861 N Madison St Ste 5",
            "address_purpose": "LOCATION",
            "city": "Rockford",
            "state": "IL",
            "postal_code": "611073058",
            "country_code": "US",
            "telephone_number": "815-871-2410",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5970 Churchview Dr",
            "address_purpose": "LOCATION",
            "city": "Rockford",
            "state": "IL",
            "postal_code": "611072574",
            "country_code": "US",
            "telephone_number": "815-971-2000",
            "fax_number": "815-971-9267",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7702 N Alpine Rd",
            "address_purpose": "LOCATION",
            "city": "Loves Park",
            "state": "IL",
            "postal_code": "611113107",
            "country_code": "US",
            "telephone_number": "815-971-2000",
            "fax_number": "815-971-9266",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MALTBY",
        "first_name": "GENEVIEVE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-24",
        "last_updated": "2025-05-30",
        "certification_date": "2025-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IL",
            "license": "149.021953",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IL",
            "license": "150-102991",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockford, IL

Sources for this page

Verify at the official NPI Registry.