Geraldine Taeckens, ACSW

Primary specialty

School Social WorkerTaxonomy code 1041S0200X

License

L867363 Issued in MI

Practice address

1131 E Spruce St
Sault Sainte Marie, MI 49783-2527

Phone

(906) 632-4565

NPI assigned

Mar 26, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1311552000000",
    "number": "1821116195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1131 E SPRUCE ST",
            "city": "SAULT SAINTE MARIE",
            "state": "MI",
            "postal_code": "497832527",
            "telephone_number": "906-632-4565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1131 E SPRUCE ST",
            "city": "SAULT SAINTE MARIE",
            "state": "MI",
            "postal_code": "497832527",
            "telephone_number": "906-632-4565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAECKENS",
        "first_name": "GERALDINE",
        "name_prefix": "Mr.",
        "credential": "ACSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-26",
        "last_updated": "2011-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "MI",
            "license": "L867363",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MI",
            "license": "L867363",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8008924810",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joseph D. Susi II, MS, ATC
• Kelsey Nicole Swigert
• Tamara Switzer
• Brandon Sypher
• Andrew Szoke, RPH
• Tapawingo Farms
• Theresa D Tavenner, A.D.S.
• Peyton Teeple, RD
• Tega Inc (Prescription Oxygen Service)
• Tendercare Sault Ste Marie Inc. (Tendercare Sault Ste Marie)

• School Social Worker in Sault Sainte Marie, MI
• Providers in Sault Sainte Marie, MI by specialty
• School Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2011; 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.