Active NPI
Genevieve Maltby, LCSW
- Social Worker
- Rockford, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 149.021953
- 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, 2025
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 149.021953 | IL | MD | Social Worker |
| 150-102991 | IL | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rockford Health Physicians | Current | Accepting new patients | |
| Dr. Genevieve Maltby LLC | Clinical | Current | Accepting new patients |
| Restore Counseling & Recovery, Inc. | Clinical | Current | 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
- 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.
-
- Clinical Social Worker
- Rockford, IL
- NPI 1528780939
-
dba Mercyhealth Physicians
- Multi-Specialty Clinic/Center
- Rockford, IL
- NPI 1043242886
-
- Clinical Social Worker
- Rockford, IL
- NPI 1639241748
-
- Clinical Social Worker
- Loves Park, IL
- NPI 1588909923
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Rockford, IL
- NPI 1629118609
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.