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GEOFFREY KANTACK LMSW
NPI 1053718759
Social Worker - Clinical in Troy, MI

Active since November 24, 2014PECOS EnrolledAccepts Medicare Assignment
2075 W BIG BEAVER RD, TROY, MI 48084(248) 646-6659 Get Directions Write a Review

NPPES record last updated: January 30, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Geoffrey Kantack Lmsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GEOFFREY KANTACK LMSW (NPI 1053718759) is an individual clinical provider in Troy, Michigan, licensed in Michigan (6801096724) and active in the NPI registry since November 2014. He is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1053718759
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameGEOFFREY KANTACKCredential: LMSW
Location Address2075 W BIG BEAVER RDTroy, MI 48084-3407
Mailing Address5718 Kenmoor RdBloomfield Hills, MI 48301-1018 · (914) 522-0531
Phone(248) 646-6659
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateNovember 24, 2014
Last NPPES UpdateJanuary 30, 2018
✔ NPI 1053718759 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in MI · 6801096724
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
2075 W BIG BEAVER RD, Troy, MI 48084
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Geoffrey Kantack Lmsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3971899923
PECOS Enrollment IDI20160831001286
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48084 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $58.04 – $177.36
Typical copayment $0.00 (range $14.51 – $44.34)
Most-billed visit code NA
Established Patient
$72.38 typical visit price
range $18.32 – $143.49
Typical copayment $18.09 (range $4.58 – $35.87)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. MONICA LYNN NAGLE
Marriage & Family Therapist
2075 W BIG BEAVER RD, SUITE 520
TROY, MI 48084
Oakland County (248) 646-6659
MRS. CARRIE JOAN KRAWIEC LMFT
Marriage & Family Therapist
2075 W BIG BEAVER RD, SUITE 520
TROY, MI 48084
Oakland County (248) 282-2337
DR. JANET GILCHRIST JORDAN MA LLP
Psychologist
2075 W BIG BEAVER RD, SUITE 520
TROY, MI 48084
Oakland County (248) 646-6659
DANIEL O'NEIL M.A.
Specialist/Technologist (Athletic Trainer)
2075 W BIG BEAVER RD, SUITE 520
TROY, MI 48084
Oakland County (248) 646-6659
DR. JOANNE G WILLEN PHD
Psychologist (Clinical)
2075 W BIG BEAVER RD, SUITE 520
TROY, MI 48084
Oakland County (248) 646-6659
ZUBAIR G. RATHUR PT
Physical Therapist
2075 W BIG BEAVER RD
TROY, MI 48084
Oakland County (248) 649-3755
STEPHEN JOHN BATCHELOR LMSW
Social Worker (Clinical)
2075 W BIG BEAVER RD
TROY, MI 48084
Oakland County (248) 880-5790
DR. CALDER W KAUFMAN PSYD
Psychologist (Clinical)
2075 W BIG BEAVER RD, SUITE 520
TROY, MI 48084
Oakland County (248) 646-6659

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Geoffrey Kantack's NPI number?

The NPI number for Geoffrey Kantack is 1053718759. It was assigned to this individual provider in the NPPES registry on November 24, 2014.

Where is Geoffrey Kantack located?

Geoffrey Kantack practices at 2075 W Big Beaver Rd, Troy, MI 48084. The listed phone number is (248) 646-6659.

What is Geoffrey Kantack's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Geoffrey Kantack enrolled in Medicare?

Yes. Geoffrey Kantack is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Geoffrey Kantack was last updated on January 30, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.