Individual provider Active NPI

Geoffrey K Malone, LCSW

  • Clinical Social Worker
  • Pewaukee, WI
National Provider Identifier
1699293563
Registry record updated May 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
9621-123 Issued in WI
Practice address
N13W28697 Silvernail Rd
Pewaukee, WI 53072-5107
Phone
(262) 422-8181
NPI assigned
Aug 31, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2026

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 9621-123 WI Primary

Addresses

Primary practice location

N13W28697 Silvernail Rd
Pewaukee, WI 53072-5107

Mailing address

N13W28697 Silvernail Rd
Pewaukee, WI 53072-5107

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
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
I20210421002842 WI Practitioner - Clinical Social Worker 5799193264 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2018
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1900 Silver Lake Rd NW
Suite 110
New Brighton, MN 55112-1789

800 Wisconsin Ave
Racine, WI 53403-1526

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9621-123WIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Catholic Charities of the Archdiocese of Milwaukee Inc Clinical Current Accepting new patients
Nystrom & Associates Counseling Wi., S.C. CurrentSince Jul 17, 2023 Accepting new patients
Catholic Charities of the Archdiocese of Milwaukee Inc CurrentSince Mar 29, 2021 Accepting new patients
Family Support Services Inc. CurrentSince Mar 3, 2024 Accepting new patients
Nystrom & Associates Counseling Wi., S.C. CurrentSince Jul 17, 2023 Accepting new patients
Catholic Charities of the Archdiocese of Milwaukee Inc PastSince Mar 1, 2021 Accepting new patients

Locations

1900 Silver Lake Rd NW
Ste 110
Saint Paul, MN 55112
Phone (651) 379-1718

1811 Weir Dr
Ste 270
Woodbury, MN 55125
Phone (651) 243-6087

201 Main St
Ste 500
La Crosse, WI 54601
Phone (608) 668-4005

1001 Fourier Dr
Ste 200
Madison, WI 53717
Phone (608) 740-2001

2021 N 60th St
Milwaukee, WI 53208
Phone (414) 771-2881

800 Wisconsin Ave
Racine, WI 53403
Phone (262) 637-8888

717 N East Ave
Waukesha, WI 53186
Phone 2625472463 ext. 0000

Interoperability endpoints

  • Direct secure messaging: catholiccharities.geoffmalone@124096.advancedmd-direct.com

Organizations & group practices 6

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

NPI Registry JSON

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

{
    "created_epoch": "1504137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779408000000",
    "number": "1699293563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "N13W28697 SILVERNAIL RD",
            "city": "PEWAUKEE",
            "state": "WI",
            "postal_code": "530725107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "N13W28697 SILVERNAIL RD",
            "city": "PEWAUKEE",
            "state": "WI",
            "postal_code": "530725107",
            "telephone_number": "262-422-8181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALONE",
        "first_name": "GEOFFREY",
        "middle_name": "K",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-08-31",
        "last_updated": "2026-05-22",
        "certification_date": "2026-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "9621-123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pewaukee, WI

Sources for this page

Verify at the official NPI Registry.