GEOFFREY KANTACK LMSW
NPI 1053718759
Social Worker - Clinical in Troy, MI
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
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignment
Medicare enrollment records show Geoffrey Kantack reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Troy, MI 48084
- Reassigned Medicare billing, Michigan enrollment
- 18 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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.
TROY, MI 48084
TROY, MI 48084
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.
Which organization bills Medicare for Geoffrey Kantack's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Geoffrey Kantack reassigns Medicare benefits to Birmingham Maple Clinic (Troy, MI). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Geoffrey Kantack's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Geoffrey Kantack was last updated on January 30, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Geoffrey Kantack, LMSW · NPI 1053718759
Clinical provider in Troy, Michigan. Individual provider, active in the CMS NPPES registry since November 24, 2014.
## Identity
- **NPI:** 1053718759 (Entity type: Individual)
- **Enumerated:** November 24, 2014
- **Primary specialty:** Social Worker - Clinical · taxonomy 1041C0700X
- **State license:** 6801096724 (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** 2075 W BIG BEAVER RD, Troy, MI 48084-3407
- **Phone:** (248) 646-6659
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Birmingham Maple Clinic (NPI 1558412551, Troy, MI), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2014
## Record status
- **NPPES last updated:** January 30, 2018
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Source: [NPI Profile](https://npiprofile.com/npi/1053718759) · Data from the CMS NPPES public registry.